{"title":"Percutaneous Endoscopic Gastrostomy (pull method) and Jejunal Extension Tube Placement","authors":"Shou-jiang Tang, Ruonan Wu","doi":"10.1016/j.vjgien.2013.10.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Enteral feeding should be considered for patients with an intact and functional gastrointestinal tract. Percutaneous endoscopic gastrostomy (PEG) tube placement is indicated in patients requiring medium to long term enteral feeding (>30 days) and with impaired swallowing.</p></div><div><h3>Patients and methods</h3><p>In this video manuscript, we demonstrate the complete PEG procedure (pull method) in a 65 year old patient and placement of PEG jejunal extension tube in another patient who needed post-pyloric enteral feeding.</p></div><div><h3>Conclusions</h3><p>PEG-pull method is the most widely used PEG technique. Appropriate patient selection, timing of the procedure, informed consent, antibiotic prophylaxis, adequate endoscopic air insufflation during PEG site selection, and optimal PEG site localization are the keys in this procedure.</p></div>","PeriodicalId":101274,"journal":{"name":"Video Journal and Encyclopedia of GI Endoscopy","volume":"2 1","pages":"Pages 40-45"},"PeriodicalIF":0.0000,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.vjgien.2013.10.004","citationCount":"12","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Video Journal and Encyclopedia of GI Endoscopy","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212097114000284","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 12
Abstract
Background
Enteral feeding should be considered for patients with an intact and functional gastrointestinal tract. Percutaneous endoscopic gastrostomy (PEG) tube placement is indicated in patients requiring medium to long term enteral feeding (>30 days) and with impaired swallowing.
Patients and methods
In this video manuscript, we demonstrate the complete PEG procedure (pull method) in a 65 year old patient and placement of PEG jejunal extension tube in another patient who needed post-pyloric enteral feeding.
Conclusions
PEG-pull method is the most widely used PEG technique. Appropriate patient selection, timing of the procedure, informed consent, antibiotic prophylaxis, adequate endoscopic air insufflation during PEG site selection, and optimal PEG site localization are the keys in this procedure.
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