RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187820663
T1 Percutaneous Endoscopic Gastrostomy
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187820663
RD 2024/04/16
AB The  usual  indications  for  gastrostomy  include  the  need  for  feeding,  decompression,  or  gastric  access.  In  feeding  situations,  the  gastrointestinal  (GI)  tract  must  be  functional,  and  the  need  for  enteral  feeding  must  be  for  a  prolonged  interval.  Stamm  gastrostomies  are  most  often  performed  at  the  conclusion  of  some  other  major  GI  procedure  while  the  abdomen  is  open,  but  the  percutaneous  endoscopic  gastrostomy  (PEG)  allows  the  placement  of  a  gastrostomy  in  adults  and  children  without  laparotomy.  This  technique  depends  on  the  safe  passage  of  an  endoscope  into  the  stomach,  which  can  be  dilated  with  air.  Inability  to  pass  the  endoscope  safely  and  inability  to  identify  the  transabdominal  lumination  of  the  lighted  endoscope  tip  within  the  dilated  stomach  are  contraindications  to  the  procedure.  Ascites,  partially  corrected  coagulopathy,  and  intra-abdominal  infection  are  relative  contraindications  to  the  PEG  method.