Boeykens K, Duysburgh I. Prevention and management of major complications in percutaneous endoscopic gastrostomy.
BMJ Open Gastroenterol 2021;
8:bmjgast-2021-000628. [PMID:
33947711 PMCID:
PMC8098978 DOI:
10.1136/bmjgast-2021-000628]
[Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Revised: 03/24/2021] [Accepted: 03/28/2021] [Indexed: 12/17/2022] Open
Abstract
Background
Percutaneous endoscopic gastrostomy is a commonly used endoscopic technique where a tube is placed through the abdominal wall mainly to administer fluids, drugs and/or enteral nutrition. Several placement techniques are described in the literature with the ‘pull’ technique (Ponsky-Gardener) as the most popular one. Independent of the method used, placement includes a ‘blind’ perforation of the stomach through a small acute surgical abdominal wound. It is a generally safe technique with only few major complications. Nevertheless these complications can be sometimes life-threatening or generate serious morbidity.
Method
A narrative review of the literature of major complications in percutaneous endoscopic gastrostomy.
Results
This review was written from a clinical viewpoint focusing on prevention and management of major complications and documented scientific evidence with real cases from more than 20 years of clinical practice.
Conclusions
Major complications are rare but prevention, early recognition and popper management are important.
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