First Year Fellows Endoscopy Course (August 5 - 6)

9-Feeding tubes

Pdf Summary

This document provides information on percutaneous gastrostomy tubes (PEG) placement, including indications for placement, pre-PEG assessment, management of antithrombotic agents, contraindications and relative contraindications to PEG, PEG tray contents, PEG technique, PEG location, safe tract technique, securing the bumper, repeat endoscopy, and when to use after placement. It also discusses adverse events associated with PEG, such as aspiration, infection, pneumoperitoneum, leakage, buried bumper syndrome, gastrocolic fistula, and PEG site metastases. The document provides guidance on handling complications including tube displacement, PEG removal, PEG replacement tubes, and tube migration. It concludes with considerations and questions to keep in mind when presented with a PEG-related issue.

Keywords

percutaneous gastrostomy tubes

PEG placement

indications for placement

PEG tray contents

PEG technique

safe tract technique

adverse events associated with PEG

complications

tube displacement

PEG-related issue