Clinical Gastroenterology Vol.28 No.10(1)

Theme The Present State of Percutaneous Endoscopic Gastrostomy (PEG)
Title Role of PEG in Nutritional Management
Publish Date 2013/09
Author Takanori Tenjin Center for Digestive and Liver Disease, Ofuna Chuo Hospital
Author Fumiaki Ueno Center for Digestive and Liver Disease, Ofuna Chuo Hospital
Author Atsushi Yoshida Center for Digestive and Liver Disease, Ofuna Chuo Hospital
[ Summary ] Indications and contraindication for percutaneous endoscopic gastrostomy (PEG) are well established. However, ethical considerations, particularly those based on patients view point, have not been sufficiently discussed. When considering the role of PEG in nutritional management, ethical aspects are important as well as indications and contraindications for gastrostomy as well as indications for long-term enteral nutrition. Attention should also, be paid to prevention of sarcopenia (loss of muscle) and early detection of trace element deficiency. We describe the role of PEG in nutritional management while considering the above issues.
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