Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement Questions & Answers

1. Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg. 1980 Dec. 15 (6):872-5. [QxMD MEDLINE Link].

2. Duszak R Jr, Mabry MR. National trends in gastrointestinal access procedures: an analysis of Medicare services provided by radiologists and other specialists. J Vasc Interv Radiol. 2003 Aug. 14 (8):1031-6. [QxMD MEDLINE Link].

3. Yarmus L, Gilbert C, Lechtzin N, Imad M, Ernst A, Feller-Kopman D. Safety and feasibility of interventional pulmonologists performing bedside percutaneous endoscopic gastrostomy tube placement. Chest. 2013 Aug. 144 (2):436-40. [QxMD MEDLINE Link].

4. Vanis N, Saray A, Gornjakovic S, Mesihovic R. Percutaneous endoscopic gastrostomy (PEG): retrospective analysis of a 7-year clinical experience. Acta Inform Med. 2012 Dec. 20 (4):235-7. [QxMD MEDLINE Link]. [Full Text].

5. Lohsiriwat V. Percutaneous endoscopic gastrostomy tube replacement: A simple procedure?. World J Gastrointest Endosc. 2013 Jan 16. 5 (1):14-8. [QxMD MEDLINE Link]. [Full Text].

6. Rahnemai-Azar AA, Rahnemaiazar AA, Naghshizadian R, Kurtz A, Farkas DT. Percutaneous endoscopic gastrostomy: indications, technique, complications and management. World J Gastroenterol. 2014 Jun 28. 20 (24):7739-51. [QxMD MEDLINE Link]. [Full Text].

7. Folch E, Kheir F, Mahajan A, Alape D, Ibrahim O, Shostak E, et al. Bronchoscope-Guided Percutaneous Endoscopic Gastrostomy Tube Placement by Interventional Pulmonologists: A Feasibility and Safety Study. J Intensive Care Med. 2018 Sep 24. 885066618800275. [QxMD MEDLINE Link].

8. Kak M, Issa NP, Roos RP, Sweitzer BJ, Gottlieb O, Guralnick A, et al. Gastrostomy tube placement is safe in advanced amyotrophic lateral sclerosis. Neurol Res. 2017 Jan. 39 (1):16-22. [QxMD MEDLINE Link].

9. Gomes CA Jr, Andriolo RB, Bennett C, Lustosa SA, Matos D, Waisberg DR, et al. Percutaneous endoscopic gastrostomy versus nasogastric tube feeding for adults with swallowing disturbances. Cochrane Database Syst Rev. 2015 May 22. CD008096. [QxMD MEDLINE Link].

10. Baker L, Beres AL, Baird R. A systematic review and meta-analysis of gastrostomy insertion techniques in children. J Pediatr Surg. 2015 May. 50 (5):718-25. [QxMD MEDLINE Link].

11. Sandberg F, Viktorsdóttir MB, Salö M, Stenström P, Arnbjörnsson E. Comparison of major complications in children after laparoscopy-assisted gastrostomy and percutaneous endoscopic gastrostomy placement: a meta-analysis. Pediatr Surg Int. 2018 Dec. 34 (12):1321-1327. [QxMD MEDLINE Link].

12. Zenitani M, Nose S, Sasaki T, Oue T. Safety and efficacy of laparoscopy-assisted percutaneous endoscopic gastrostomy in infants and small children weighing less than 10 kg: A comparison with larger patients. Asian J Endosc Surg. 2020 Apr 21. [QxMD MEDLINE Link].

13. Oterdoom LH, Marinus Oterdoom DL, Ket JCF, van Dijk JMC, Scholten P. Systematic review of ventricular peritoneal shunt and percutaneous endoscopic gastrostomy: a safe combination. J Neurosurg. 2017 Oct. 127 (4):899-904. [QxMD MEDLINE Link].

14. Tyler K, Leon SM, Lowe S, Kellogg R, Lena J, Privette AR, et al. Risk of ventriculoperitoneal shunt infection with coexisting percutaneous endoscopic gastrostomy tube and associated factors. Heliyon. 2020 Mar. 6 (3):e03523. [QxMD MEDLINE Link]. [Full Text].

15. Pih GY, Na HK, Ahn JY, Jung KW, Kim DH, Lee JH, et al. Risk factors for complications and mortality of percutaneous endoscopic gastrostomy insertion. BMC Gastroenterol. 2018 Jun 28. 18 (1):101. [QxMD MEDLINE Link]. [Full Text].

16. Kulvatunyou N, Zimmerman SA, Sadoun M, Joseph BA, Friese RS, Gries LM, et al. Comparing Outcomes Between "Pull" Versus "Push" Percutaneous Endoscopic Gastrostomy in Acute Care Surgery: Under-Reported Pull Percutaneous Endoscopic Gastrostomy Incidence of Tube Dislodgement. J Surg Res. 2018 Dec. 232:56-62. [QxMD MEDLINE Link].

17. Jafri NS, Mahid SS, Minor KS, Idstein SR, Hornung CA, Galandiuk S. Meta-analysis: antibiotic prophylaxis to prevent peristomal infection following percutaneous endoscopic gastrostomy. Aliment Pharmacol Ther. 2007 Mar 15. 25 (6):647-56. [QxMD MEDLINE Link].

18. Bechtold ML, Matteson ML, Choudhary A, Puli SR, Jiang PP, Roy PK. Early versus delayed feeding after placement of a percutaneous endoscopic gastrostomy: a meta-analysis. Am J Gastroenterol. 2008 Nov. 103 (11):2919-24. [QxMD MEDLINE Link].

19. Choudhry U, Barde CJ, Markert R, Gopalswamy N. Percutaneous endoscopic gastrostomy: a randomized prospective comparison of early and delayed feeding. Gastrointest Endosc. 1996 Aug. 44 (2):164-7. [QxMD MEDLINE Link].

20. Sharma VK, Howden CW. Meta-analysis of randomized, controlled trials of antibiotic prophylaxis before percutaneous endoscopic gastrostomy. Am J Gastroenterol. 2000 Nov. 95 (11):3133-6. [QxMD MEDLINE Link].

Gaurav Arora, MD, MS Assistant Professor of Internal Medicine, Division of Digestive and Liver Diseases, Department of Internal Medicine, University of Texas Southwestern Medical Center at Dallas, Southwestern Medical School

Gaurav Arora, MD, MS is a member of the following medical societies: American College of Gastroenterology, American Gastroenterological Association, American Society for Gastrointestinal Endoscopy, American Association of Physicians of Indian Origin

Disclosure: Nothing to disclose.

Frank J Lukens, MD Assistant Professor of Medicine, Program Director of GI Fellowship Program, Director of Endoscopy and Endoscopic Training, Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, The University of Texas Health Science Center at Houston Medical School

Frank J Lukens, MD is a member of the following medical societies: American Society for Gastrointestinal Endoscopy, Texas Medical Association

Disclosure: Nothing to disclose.

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Laurie Scudder, DNP, NP Nurse Planner, Medscape; Senior Clinical Professor of Nursing, George Washington University

Disclosure: Nothing to disclose.

Danny A Sherwinter, MD Attending Surgeon, Department of Mimially Invasive Surgery and Bariatrics, Associate Program Director, Department of Surgery, Maimonides Medical Center; Director of Minimally Invasive and Bariatric Surgery, American Society for Metabolic and Bariatric Surgery (ASMBS) Center of Excellence

Danny A Sherwinter, MD is a member of the following medical societies: American College of Surgeons, American Society for Metabolic and Bariatric Surgery, Society of American Gastrointestinal and Endoscopic Surgeons, Society of Laparoendoscopic Surgeons

Disclosure: Nothing to disclose.

Andrew J Duffy, MD, FACS Assistant Professor of Surgery, Section of Gastrointestinal Surgery, Associate Program Director of the Surgical Residency Program, Director of the Yale Surgical Skills and Simulation Center, Department of Surgery, Yale School of Medicine; Attending Surgeon, Yale-New Haven Hospital

Andrew J Duffy, MD, FACS is a member of the following medical societies: Alpha Omega Alpha, American College of Surgeons, Phi Beta Kappa, Society of American Gastrointestinal and Endoscopic Surgeons, Society of Laparoendoscopic Surgeons

Disclosure: Nothing to disclose.

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