Percutaneous endoscopic gastrostomy and jejunostomy: Indications and techniques.
World J Gastrointest Endosc
; 14(5): 250-266, 2022 May 16.
Article
in En
| MEDLINE
| ID: mdl-35719902
ABSTRACT
Nutritional support is essential in patients who have a limited capability to maintain their body weight. Therefore, oral feeding is the main approach for such patients. When physiological nutrition is not possible, positioning of a nasogastric, nasojejunal tube, or other percutaneous devices may be feasible alternatives. Creating a percutaneous endoscopic gastrostomy (PEG) is a suitable option to be evaluated for patients that need nutritional support for more than 4 wk. Many diseases require nutritional support by PEG, with neurological, oncological, and catabolic diseases being the most common. PEG can be performed endoscopically by various techniques, radiologically or surgically, with different outcomes and related adverse events (AEs). Moreover, some patients that need a PEG placement are fragile and are unable to express their will or sign a written informed consent. These conditions highlight many ethical problems that become difficult to manage as treatment progresses. The aim of this manuscript is to review all current endoscopic techniques for percutaneous access, their indications, postprocedural follow-up, and AEs.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Aspects:
Ethics
Language:
En
Journal:
World J Gastrointest Endosc
Year:
2022
Document type:
Article
Affiliation country:
Italia