First Year Fellows Endoscopy Course (July 31 - August 1) | 2022-Feeding Tubes: Percutaneous Gastrostomy Tubes (PEG)

Video Transcription

Video Summary

The video provides an overview of percutaneous endoscopic gastrostomy (PEG) tubes. PEG tubes are used when a patient is unable to eat and requires nutrition and hydration for longer than three to four days. The most common indications for PEG tube placement are patients who have had a stroke, cerebral injuries, esophageal cancer, or require gastric decompression. Before placing a PEG tube, the patient's medical history, including medications and prior surgeries, should be assessed. Informed consent is important, especially for patients who may not be able to provide consent themselves. The video also discusses guidelines for managing anticoagulation during PEG placement. The procedure involves inserting a needle through the abdominal wall into the stomach. A wire is then passed through the needle, and the PEG tube is inserted and secured with a bumper. Potential complications include aspiration, bleeding, leakage, impingement of the colon, and neoplastic seeding. The video also covers the management of complications and replacement of PEG tubes.

Asset Subtitle

Nayantara Coelho-Prabhu, MD

Keywords

PEG tubes

nutrition and hydration

stroke

esophageal cancer

gastric decompression

informed consent

complications