| Theme |
Percutaneous Endoscopic Gastrostomy (PEG) |
| Title |
Complications after Percutaneous Endoscopic Gastrostomy (PEG) Placement and Their Prevention-Problems in Late Complications and Their Management |
| Author |
Jiro Kanie |
Section of Internal Medicine, Fukiage Clinic for Gastroenterology |
| Author |
Yusuke Suzuki |
Department of Geriatrics, Medicine in Growth and Aging, Program in Health and Community Medicine, Nagoya University Graduate School of Medicine |
| [ Summary ] |
While percutaneous endoscopic gastrostomy (PEG) has many advantages for those who require tube feeding for long-term nutritional support, its complications have been identified. There are mainly two types of complications related to PEG ; early complications that occur before the fistula is completed after the tube placement and late complications that occur thereafter. This report focuses on late complications. In our experience of 651 cases, late complications, such as leakage of nutrients, recurrent vomiting, inadequate insertion of exchanged tube, buried bumper syndrome, were found in approximately 10 % of patients with PEG. Some of the late complications occurred by accident, but others could have been avoided by appropriate management. Thus healthcare staffs engaged in PEG feeding are advised to obtain sufficient knowledge and experience. |