First Year Fellows Endoscopy Course (August 5 - 6) | 2022-Feeding Tubes: Percutaneous Gastrostomy Tubes (PEG)

Video Transcription

Video Summary

In this video, Naina Coelho provides a brief overview of feeding tubes, specifically percutaneous endoscopic gastrostomy (PEG) tubes. PEG tubes are commonly used to provide nutrition and hydration to patients who are unable to eat. They can also be used for gastric decompression. Coelho discusses the indications for PEG tube placement, such as patients who have had a stroke, esophageal cancer, or other cerebral injuries, and those who require nutrition and hydration for an extended period. She emphasizes the importance of assessing the patient's medical history, including medication use, previous surgeries, and abdominal hernia mesh placement, as well as their nutritional status. Coelho also discusses the procedure for placing a PEG tube, including identifying the appropriate site on the abdomen, inserting a finding needle and an angiocatheter, passing a wire through the catheter, and pulling the tube into the stomach. She explains how to secure the bumper on the outside of the abdomen and provides tips for managing common complications, such as aspiration, bleeding, and leakage. Coelho also discusses potential contraindications for PEG tube placement and post-procedure care, including the possibility of traction pulling the tube if necessary. Throughout the video, she emphasizes the importance of informed consent, proper documentation, and following guidelines and best practices for PEG tube placement. No credits are mentioned in the video.

Asset Subtitle

Nayantara Coelho-Prabhu, MD

Keywords

feeding tubes

PEG tubes

nutrition and hydration

procedure for placing a PEG tube

complications of PEG tube placement

contraindications for PEG tube placement

post-procedure care