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Percutaneous endoscopic gastrostomy (PEG) is an endoscopic medical procedure in which a tube (PEG tube) is passed into a patient's stomach through the abdominal wall, most commonly to provide a means of feeding when oral intake is not adequate (for example, because of dysphagia or sedation).
PEG tube: Used to perform percutaneous endoscopic gastrostomy: Menghini needle or Tru-Cut needle: Used to perform percutaneous liver biopsy: Image gallery
The Stamm gastrostomy is an open technique, [4] requiring an upper midline laparotomy and gastrotomy, with the catheter brought out in the left hypochondrium.It was first devised in 1894 by the American Gastric Surgeon, Martin Stamm (1847–1918), who was educated greatly in surgery when he visited Germany.
There are dozens of conditions that may require tube feeding (enteral nutrition) to prevent or treat malnutrition. Conditions that necessitate feeding tubes include prematurity, failure to thrive (or malnutrition), neurologic and neuromuscular disorders, inability to swallow, anatomical and post-surgical malformations of the mouth and esophagus, cancer, Sanfilippo syndrome, and digestive ...
Gastroenterostomy, anastomosis of gastric cardia to jejunum. A gastroenterostomy is the surgical creation of a connection between the stomach and the jejunum.The operation can sometimes be performed at the same time as a partial gastrectomy (the removal of part of the stomach).
Buried bumper syndrome tends to be a late complication of gastrostomy tube placement, but can rarely occur as early as 1 to 3 weeks after tube placement. [4] [5] Most cases occur more than 1 year after initial placement of the PEG tube. [2] Excessive tightening of the external bumper is the primary risk factor for buried bumper syndrome.
Since 1985, two PEGs per patient have been employed to treat gastric volvulus. [1] In 2006, a variation, the loop-PEG, was used in Singapore by Dr Pang Ah San. The loop-PEG gives a better balance between the tube security and ease of tube change. [2] [3] ”
These tubes often have guidewires to facilitate insertion. If feeding is required for a longer period of time, other options, such as placement of a PEG tube, should be considered. [citation needed] Function of an NG tube properly placed and used for suction is maintained by flushing.