First Year Fellows Endoscopy Course (August 7 - 8) | 2022-Feeding Tubes: Percutaneous Gastrostomy Tubes (PEG)

Video Transcription

Video Summary

The video is a presentation by Naina Coelho about feeding tubes, specifically percutaneous endoscopic gastrostomy (PEG) tubes. She discusses the indications for placing a PEG tube, such as patients who are unable to eat due to stroke or other cerebral injuries, significant radiation, or esophageal cancer. Coelho emphasizes the importance of assessing the patient's nutritional status and the need for long-term nutrition and hydration.<br /><br />She provides information on the procedure for placing a PEG tube, including considerations for medications, anatomical factors, and informed consent. Coelho also discusses guidelines for managing anticoagulation during the procedure. She explains the steps involved in inserting the tube using the safe track technique and highlights the importance of proper placement and securing of the bumper.<br /><br />Coelho mentions potential complications of PEG tube placement, such as aspiration, bleeding, pneumoperitoneum, leakage, and neoplastic seeding. She advises on how to manage these complications and discusses the need for follow-up and monitoring. Additionally, she addresses the techniques for traction pulling and the use of replacement tubes.<br /><br />The video provides valuable information and recommendations for healthcare professionals involved in the placement and management of PEG tubes.

Asset Subtitle

Nayantara Coelho-Prabhu, MD

Keywords

feeding tubes

percutaneous endoscopic gastrostomy

PEG tubes

indications for PEG tube placement

procedure for placing a PEG tube

complications of PEG tube placement

management of PEG tubes