First Year Fellows Endoscopy Course (August 4-5)

9-Feeding tubes

Pdf Summary

The document discusses percutaneous gastrostomy tubes (PEG) and provides information on the indications for PEG placement, pre-PEG assessment, antithrombotic agent management, contraindications to PEG, PEG tray contents, PEG technique, securing the bumper, repeat endoscopy, and when to use the PEG after placement. It also covers adverse events such as aspiration, infection, pneumoperitoneum, leakage, buried bumper syndrome, gastrocolic fistula, tube dislodgement, and PEG site metastases. The document provides recommendations for the management and treatment of these adverse events and includes information on PEG removal, PEG replacement tubes, tube migration, and granulation tissue. The conclusion offers a checklist and invites questions.

Keywords

Percutaneous gastrostomy tubes

PEG placement indications

Pre-PEG assessment

Antithrombotic agent management

Contraindications to PEG

PEG tray contents

PEG technique

Securing the bumper

Adverse events

PEG removal