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Topic: Percutaneous endoscopic gastrostomy

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	Percutaneous endoscopic gastrostomy - Wikipedia, the free encyclopedia
		A percutaneous endoscopic gastrostomy (PEG) is an endoscopic procedure for placing a tube into the stomach through the abdominal wall.
		PEG tubes may also be extended into the small bowel.
		PEGs may also be inserted to decompress the stomach in cases of gastric volvulus.
	en.wikipedia.org /wiki/Percutaneous_endoscopic_gastrostomy (338 words)

	CancerNetwork:
		Percutaneous Endoscopic Stomas for Enteral Feeding and Drainage
		The gastrostomy tube may range in size from 15 F to 28 F. One end of the tube has a widened mushroom shape, and the other end is attached to a tapered plastic or rubber dilator, the tip of which is hooked to a thread or wire.
		Percutaneous endoscopic gastrostomies last as long as surgical gastrostomies, and the tracts may be dilated to accommodate very large bore feeding tubes.
	www.cancernetwork.com /journals/oncology/o9501b.htm (4072 words)

	Med-Lib - Medical Online Library - English Articles - Oxford Textbook of Surgery - Percutaneous endoscopic gastrostomy
		Percutaneous endoscopic gastrostomy is indicated for any patient who cannot, or will not, eat and who therefore needs prolonged enteral tube feedings.
		Contraindications to percutaneous endoscopic gastrostomy are ascites, extreme obesity, oesophageal or gastric varices, anticoagulation or a coagulopathy, oesophageal obstruction severe enough to preclude passage of a paediatric endoscope, and a moribund patient.
		Percutaneous endoscopic gastrostomy is unsuccessful for technical reasons in 5 to 10 per cent of patients.
	med-lib.ru /english/oxford/perc_end_gas.shtml (1411 words)

	Role of Percutaneous Endoscopic Gastrostomy (PEG)
		PEG was introduced in 1980 as an alternative to laparotomy for placement of a gastrostomy(1-3).
		PEG should be considered for pediatric and adult patients who have an intact, functional gastrointestinal tract but are unable to consume sufficient calories to meet metabolic needs.
		The basic elements common to all of these techniques are: (1) gastric insufflation to bring the stomach into apposition to the abdominal wall; (2) percutaneous placement of a tapered cannula into the stomach; (3) passage of a suture or guidewire into the stomach; (4) placement of the gastostomy tube; and verification of the proper position(1-3,10-12).
	www.sages.org /sg_asgepub1017.html (1022 words)

	gihealth.com - built for patient satisfaction
		PEG has a low complicaton rate and is successful in over 95% of cases.
		In this instance, the PEG tube is connectedd to a suction device to decompress a distended stomach.
		Percutaneous Endoscopic Gastrostomy (PEG) is simple, safe, and cost-effective technique for placement of feeding tubes in the GI tract.
	www.gihealth.com /html/education/peg.html (2510 words)

	Percutaneous Endoscopic Gastrostomy (PEG)
		An endoscope (a long, thin fiberoptic tube with a tiny video camera on its end) is inserted through the mouth and down the esophagus into the stomach.
		The endoscopic camera is used to produce pictures of the inside of the stomach on a video monitor so that the proper spot for insertion of the PEG feeding tube can be located.
		The PEG feeding tube is attached to this wire outside of the mouth.
	www.al-hikmah.org /percutaneous-endoscopic-gastrostomy-peg.asp (822 words)

	PEG (Percutaneous Endoscopic Gastrostomy)
		Percutaneous endoscopic gastrostomy (PEG) is a surgical procedure for placing a feeding tube without having to perform an open operation on the abdomen (laparotomy).
		A gastrostomy (a surgical opening into the stomach) is made percutaneously (through the skin) using an endoscope (a flexible, lighted instrument) to determine where to place the feeding tube in the stomach and secure it in place.
		An endoscope (a flexible, lighted instrument) is passed through the mouth, throat and esophagus to the stomach.
	huntingtondisease.tripod.com /swallowing/id20.html (257 words)

	Radiologic Feeding Gastrostomy Placement: Experience in 23 Patients (Site not responding. Last check: 2007-10-08)
		Endoscopic guided gastrostomy is another alternative method, which requires much more technical skills, is very uncomfortable to the patient and more expensive than flouro guided method.
		The rate of tube-related complications was higher for percutaneous endoscopic gastrostomy.6 The theoretical advantages of percutaneous endoscopic gastrostomy are that it can be performed at the bedside and that endoscopic diagnosis is possible during the procedure.
		Radiologic, endoscopic and surgical gastrostomy: an institutional evaluation and meta-analysis of the literature.
	jpma.org.pk /jpma/2Feb03/fulltext5.htm (1193 words)

	ASGE :: PEG (Site not responding. Last check: 2007-10-08)
		PEG stands for percutaneous endoscopic gastrostomy, a procedure through which a flexible feeding tube is placed through the abdominal wall and into the stomach.
		Liquid nutritional supplements are given through the PEG tube using a large syringe, a gravity drip using a tube connected to a hanging plastic bag, or a mechanical pump.
		A PEG does not prevent a patient from eating or drinking, but your doctor and you might decide to limit eating or drinking depending on any associated medical conditions.
	www.askasge.org /pages/brochures/peg.cfm (547 words)

	IngentaConnect Percutaneous endoscopic gastrostomy in patients with ventriculope...
		Percutaneous endoscopic gastrostomy (PEG) may be required in neurosurgical patients with a persistently depressed neurological status or severe lower cranial nerve palsies.
		The aim of the study was to determine the frequency of CSF diversionary procedures in neurosurgical patients undergoing PEG insertion and the occurrence of infective complications in patients with simultaneous placement of a PEG and a ventriculoperitoneal (VP) shunt.
		Simultaneous placement of a PEG and a VP shunt should be avoided in the acute phase of a patient's hospital admission.
	www.ingentaconnect.com /content/jws/bjs/2001/00000088/00000005/art01773 (320 words)

	Establishing radiological percutaneous gastrostomy with balloon-retained tubes as an alternative to endoscopic and ...
		Establishing radiological percutaneous gastrostomy with balloon-retained tubes as an alternative to endoscopic and surgical gastrostomy in patients with tumours of the head and neck or oesophagus -- Dinkel et al.
		Establishing radiological percutaneous gastrostomy with balloon-retained tubes as an alternative to endoscopic and surgical gastrostomy in patients with tumours of the head and neck or oesophagus
		Percutaneous endoscopic gastrostomy and jejunostomy for long-term feeding in patients with cancer of the head and neck.
	bjr.birjournals.org /cgi/content/full/75/892/371 (2665 words)

	eMedicine - Percutaneous Gastrostomy and Jejunostomy : Article by Richard Duszak, Jr, MD (Site not responding. Last check: 2007-10-08)
		Percutaneous gastrostomy placement is predominantly performed by using either the push, or Sacks-Vine, technique or the pull, or Ponsky-Gauderer, technique.
		Whether to proceed with percutaneous enteral access is often a multidisciplinary decision, and the patient and his or her family must be involved.
		Kadakia SC, Sullivan HO, Starnes E: Percutaneous endoscopic gastrostomy or jejunostomy and the incidence of aspiration in 79 patients.
	www.emedicine.com /radio/topic798.htm (5579 words)

	Percutancous gastrostomy tube placement
		One technique uses an endoscope, whereas the other involves a "blind," nonendoscopic approach using a gastrostomy tube placement device or applicator.
		Commercial gastrostomy tube placement devices in various lengths and diameters can be used for percutaneous nonencloscopic gastrostomy tube placement in dogs and cats.
		Percutaneous gastrostomy techniques have been developed to allow convenient, cost-effective placement of feeding tubes without relying on availability of relatively expensive endoscopes.
	maxshouse.com /percutancous_gastrostomy_tube_pl.htm (721 words)

	Surgical kit for "pull" type percutaneous endoscopic gastrostomy procedures - Patent 6910581
		The PEG kit 20 may include a tray 22 having a plurality of planar surfaces and a plurality of recesses that may be disposed within the planar surfaces.
		In such a procedure, a patient is sedated and an endoscope is passed down the throat of the patient until the end of the endoscope is positioned in the stomach of the patient.
		The PEG tube 94A may then be cut and an appropriate feeding adaptor, such as, for example, the bolus feeding adaptor 114A or the universal feeding adaptor 116A, may be attached to the PEG tube 94A.
	www.freepatentsonline.com /6910581.html (5668 words)

	Gastrostomy tube placement
		PEG tube placement can generally be performed under local anesthesia rather than general anesthesia.
		Under direct visualization with the endoscope, a PEG tube passes through the skin of the abdomen, through a very small incision, and into the stomach.
		PEG gastrostomy tubes avoid the need for general anesthesia and a large incision.
	www.pennhealth.com /health_info/Surgery/gastrostomytubeplacement_5.html (224 words)

	BioMed Central \| Full text \| Acceptability and outcomes of the Percutaneous Endoscopic Gastrostomy (PEG) tube ...
		Percutaneous endoscopic gastrostomy tube has now become a preferred option for the long-term nutritional support device for patients with dysphagia.
		Percutaneous endoscopic gastrostomy (PEG-tube) was first introduced in 1980 as an alternative to nasogastric tubes and surgically placed gastrostomy tubes [1].
		The advantages of the PEG tube such as; ease in feeding, cosmetic acceptability, increase in the survival period and its impact on the physical well being of the patients were also enquired.
	www.biomedcentral.com /1471-230X/6/37 (3364 words)

	Endoscopic Removal Of Percutaneous Endoscopic Gastrostomy (PEG) Tube Bumper
		During removal of the PEG tube, the bumper portion failed to be extracted externally.
		We recommend that when removing PEG tubes that have failed to be extracted externally, the external tubing should not be cut until the patient is in theatre with the availability of both the rigid and flexible oesophagoscope.
		Nonendoscopic removal of percutaneous endoscopic gastrostomy tubes: morbidity and mortality in children.
	www.ispub.com /ostia/index.php?xmlFilePath=journals/ijge/vol4n1/peg.xml (494 words)

	Percutaneous endoscopic gastrostomy tube feeding in patients with head and neck cancer Ear, Nose & Throat Journal - ...
		Percutaneous endoscopic gastrostomy tube feeding in patients with head and neck cancer
		We conclude that placement of a PEG tube is a safe method of providing nonoral nutritional support for patients with head and neck cancer.
		The percutaneous endoscopic gastrostomy (PEG) tube is an alternative to the nasogastric tube.
	www.findarticles.com /p/articles/mi_m0BUM/is_6_83/ai_n6112810 (870 words)

	Systemic antimicrobial prophylaxis for percutaneous endoscopic gastrostomy
		A percutaneous endoscopic gastrostomy (PEG) is a feeding tube that goes into the stomach (through the belly) of patients who cannot take food by mouth.
		A PEG is a feeding tube, placed surgically through the anterior abdominal wall, which delivers a liquid diet, or medication, via a clean or sterile delivery system.
		Those undergoing PEG placement are often vulnerable to infection because of age, compromised nutritional intake, immunosuppression and underlying disease processes such as malignancy and diabetes mellitus.
	www.cochrane.org /reviews/en/ab005571.html (477 words)

	Experience of percutaneous endoscopic gastrostomy in children with Crohn's disease -- Cosgrove and Jenkins 76 (2): 141 ... (Site not responding. Last check: 2007-10-08)
		A gastrostomy can overcome this problem as it is hidden under clothing and is not visible during normal daily activities.
		Of the 10 percutaneous endoscopic gastrostomies inserted, three are still in situ 1.7, 2.1, and 4.0 years after insertion.
		Israel and Hassall restricted percutaneous endoscopic gastrostomy to patients with growth failure secondary to Crohn's disease.
	adc.bmjjournals.com /cgi/content/full/76/2/141 (1989 words)

	Difficult decisions regarding percutaneous endoscopic gastrostomy placement
		The decision to place a percutaneous endoscopic gastrostomy (PEG) is easy when it is clear that long term nutritional support will result in a substantial improvement in the health of the recipient.
		Their view of the likely course of the underlying illness is often overly optimistic, and an abhorrence of death by starvation is often expressed; the need to provide nourishment seems to be fundamental to close human relationships.
		She or he has a responsibility to ensure that due consideration has been given to all of the relevant issues and options available, and that the choice made is the one that best coincides with the wishes of the person for whom the decision is being made.
	www.pulsus.com /Gastro/15_03/edie_ed.htm (1152 words)

	Percutaneous Endoscopic Gastrostomy (PEG): Currents: UI Health Care
		PEG is inappropriate in patients with rapidly progressive and incurable disease, since naso-enteral feedings over a short interval can provide the same result
		The PEG tube was originally conceived as a way to place a feeding tube to provide hydration and nourishment to neurologically impaired children who were otherwise unable to swallow.
		If there is one area of controversy in the placement of percutaneous endoscopic feeding tubes, it involves their overzealous use.
	www.uihealthcare.com /news/currents/vol1issue2/pegcomment.html (621 words)

	Healthopedia.com - Gastrostomy (Stomach Tube, Gastrostomy Tube, Percutaneous Endoscopic Gastrostomy, PEG)
		A gastrostomy is surgery to insert a tube through the abdomen into the stomach.
		A gastrostomy tube is usually placed in the body when a person is unable to take in enough calories to meet the demands of his or her body.
		Sometimes a different procedure, called a percutaneus endoscopic gastrostomy or PEG, is performed.
	www.healthopedia.com /gastrostomy (454 words)

	A randomised prospective comparison of percutaneous endoscopic gastrostomy and nasogastric tube feeding after acute ...
		Assessment of the percutaneous endoscopic gastrostomy feeding tube as part of an integrated approach to enteral feeding.
		Raha SK, Woodhouse K. The use of percutaneous endoscopic gastrostomy (PEG) in 161 consecutive elderly patients.
		Randomised comparison of percutaneous endoscopic gastrostomy and nasogastric tube feeding in patients with persisting neurological dysphagia.
	bmj.bmjjournals.com /cgi/content/full/312/7022/13 (2760 words)

	Percutaneous endoscopic colostomy
		Percutaneous endoscopic sigmoid colostomy (PEC) is a variation of the percutaneous endoscopic gastrostomy technique which has been well established for enteral gastric feeding since 1980.
		The PEG tube kit is passed through the scope with the snare.
		However, these treatment options have varying success with endoscopic decompression having a recurrence rate of approximately 40% and open resection may be contraindicated for frail, elderly patients or the severely immunocompromised.
	www.nice.org.uk /page.aspx?o=IP_74 (347 words)

	The Role of the Registered Nurse in Percutaneous Endoscopic Gastrostomy Tube Placement
		Percutaneous endoscopic gastrostomy tube (PEG) placement is an endoscopic technique for placing a gastrostomy tube or jejunostomy tube for enteral feeding.
		The Primary Role of the Nurse is maintenance of patient safety through continuous assessment of the patient’s condition and intervention as necessary.
		The Advanced Nursing Practice Role of the Nurse/Delegated Medical Act may include assisting the Physician with manipulation of the endoscope, snaring the wire, insufflation of viscera, local infiltration, incision, trocar placement, threading the wire, and positioning of the gastrostomy tube.
	www.csgna.com /percutaneous.htm (289 words)

	Prospective, randomised, double blind trial of prophylaxis with single dose of co-amoxiclav before percutaneous ...
		Percutaneous endoscopic gastrostomy for enteral feeding can be associated with substantial rates of infectious complications, notably peristomal wound infection
		Percutaneous endoscopic gastrostomy is commonly used for long term enteral feeding of patients with severe dysphagia.
		Eligible patients were at least 18 years of age and were referred for percutaneous endoscopic gastrostomy because of dysphagia.
	www.bmj.com /cgi/content/abridged/319/7214/881 (1605 words)

	Complications following percutaneous endoscopic gastrostomy and subsequent catheter replacement in children and young ...
		Complications following percutaneous endoscopic gastrostomy and subsequent catheter replacement in children and young adults.
		We sought to identify complications and associated risk factors of endoscopic gastrostomy and subsequent catheter replacement in pediatric patients.
		CONCLUSIONS: Pediatric patients with cancer and AIDS are at increased risk for complications after endoscopic gastrostomy regardless of age, weight, or nutritional status.
	www.aegis.com /aidsline/1997/jul/M9772084.html (438 words)

	Placement of a Feeding Tube
		During the procedure a tube is placed in the stomach for enteral feeding (feeding directly through the gastrointestinal tract) to occur.
		A dietitian will teach you how to use and care for your PEG tube and you will be started on enteral tube feeding (feeding directly through the gastrointestinal tract).
		Generally, PEG tubes do not need to be replaced for several months, and may even function well for two or three years.
	www.webmd.com /content/article/90/100643.htm (640 words)

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