EUS-directed transgastric PEG for long-term enteral feeding in patients with Roux-en-Y gastric bypass anatomy

Post written by Christina S. Gainey, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. We present a novel method for placing a PEG tube into the excluded stomach of Roux-en-Y gastric bypass patients, allowing for bolus gastric feeding. Although percutaneous endoscopic jejunostomy tubes are standard …

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A novel approach to treating buried bumper complicating PEG gastropexy

Post written by Andrew Storm, MD, and Navtej Buttar, MD, from Mayo Clinic, Rochester, Minnesota, USA. Managing buried bumper that is complicating PEG tube placement may be challenging and risky, particularly when this occurs acutely after PEG tube placement, where simple PEG tube removal to permit healing is impossible. In this case, we describe the use of OverStitch …

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Deconstructing the steps of pull-type PEG tube insertion

Post written by Carlos Paolo D. Francisco, MD, FPCP, DPSG, DPSDE, from Singapore General Hospital, Singapore, and St. Luke’s Medical Center, Global City, Philippines. PEG is the preferred feeding route for patients requiring long-term enteral nutrition. The procedure involves percutaneously placing a tube into the stomach with the assistance of endoscopy, as described by Gauderer et …

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PEG tube placement in the United States

Lukejohn W. Day, MD, from the Division of Gastroenterology, Department of Medicine, San Francisco General Hospital and Trauma Center, in San Francisco, California, USA describes his Original Article "Practice variation in PEG tube placement: trends and predictors among providers in the United States." Enteral access placement is performed by a variety of providers and specialties …

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