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Complications related to percutaneous endoscopic gastrostomy (PEG) tubes.
A comprehensive clinical review

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Sherwin P. Schrag1, Rohit Sharma2, Nikhil P. Jaik3, Mark J. Seamon4, John J. Lukaszczyk3, Niels D. Martin5, Brian A. Hoey5,6, S. Peter Stawicki7

1) Department of Surgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, TN.
2) Department of Surgery, Easton Hospital, Easton.
3) Department of Surgery, St Luke's Hospital and Health Network, Bethlehem.
4) Department of Surgery, Division of Trauma and Surgical Critical Care, Temple University School of Medicine, Philadelphia.
5) Department of Surgery, Division of Traumatology and Surgical Critical Care, University of Pennsylvania School of Medicine, Philadelphia.
6) Department of Surgery, St Luke's Hospital and Health Network, BethlehemSt. Luke's Trauma Center, Bethlehem.
7) OPUS 12 Foundation, King of Prussia, PA, USA

Abstract

Percutaneous endoscopic gastrostomy (PEG) has become the modality of choice for providing enteral access to patients who require long-term enteral nutrition. Although generally considered safe, PEG tube placement can be associated with many potential complications. This review describes a variety of PEG tube related complications as well as strategies for complication avoidance. In addition, the reader is presented with a brief discussion of procedures, techniques, alternatives to PEG tubes, and related issues. Special topics covered in this review include PEG tube placement following previous surgery and PEG tube use in pregnancy.

Key words
Percutaneous endoscopic gastrostomy - PEG - complications - endoscopy - management