Peg tube indications

Peg Tube Indications. In 1980 gauderer et al described inserting a percutaneous gastrostomy tube under local anaesthetic using endoscopy. Contra indications to insertion of a peg absolute contra indication is the inability to access the stomach either endoscopically or trans. In order to meet a patient s nutritional needs this may need to be repeated 4 to 6 times per day. Currently however g tube placement now routinely occurs with few complications when done.

18 it is safer and more cost effective than surgically placed gastrostomies with a low procedure related mortality 2 and complication rate. Broadly the two main indications of peg tube placement are enteral feeding and stomach decompression. Tube feed formula is placed within a large syringe and slowly administered to the patient through the plug cap on the end of the peg feeding tube. A peg with jejunal extension peg j describes a percuta neous gastrostomy tube through which a narrower bore exten sion tube is inserted to provide en into the jejunum. Gastrostomy tube g tube placement placing a tube into the stomach 1 2 to provide nutrition and medication for patients unable to feed themselves was first described in the mid 19th century. Peg tubes may also be indicated in other clinical situations such as malignant bowel obstruction head injury crohn s disease fistulae other causes of short bowel syndrome aids and hiv encephalopathy and severe burns.

Currently however g tube placement now routinely occurs with few complications when done.

Peg tubes may also be indicated in other clinical situations such as malignant bowel obstruction head injury crohn s disease fistulae other causes of short bowel syndrome aids and hiv encephalopathy and severe burns. Contra indications to insertion of a peg absolute contra indication is the inability to access the stomach either endoscopically or trans. Esge recommends that percutaneous tube placement percutaneous endoscopic gastrostomy peg percutaneous endoscopic gastrostomy with jejunal extension peg j or direct percutaneous endoscopic jejunostomy d pej should be considered to be a procedure with high hemorrhagic risk and that in order to reduce this risk specific guidelines for. Aim in view the range of indications for the use of a peg tube is wide 4 8 42 43 oncological disorders stenosing tumours in the ear nose and throat region or the upper article in press peg ncj psg psj plg plj pej stomach jejunum button tube tube nasogastric nasojejunal laparoscopically surgically sonographically fluoroscopically. Peg tubes may also be indicated in other clinical situations such as malignant bowel obstruction head injury crohn s disease fistulae other causes of short bowel syndrome aids and hiv encephalopathy and severe burns. Initially this procedure was often complicated by the development of peritonitis and a high mortality.