| Theme |
Cutting-edge Nutrition Therapy for Supporting the Treatment of Gastrointestinal Disorders |
| Title |
Nutritional Management with PEG |
| Author |
Hiroaki Shigoka |
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Ohashi Medical Center |
| Author |
Iruru Maetani |
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Ohashi Medical Center |
| Author |
Shigefumi Omuta |
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Ohashi Medical Center |
| Author |
Junya Tokuhisa |
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Ohashi Medical Center |
| Author |
Mieko Naruki |
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Ohashi Medical Center |
| [ Summary ] |
Percutaneous endoscopic gastrostomy (PEG) is generally used for venting as well as creating nutritional routes. Indications and contraindications for PEG have been established. In addition, the decision-making process for introduction of artificial hydration and nutrition (AHN) should also be considered. There are various PEG placement procedures, which are generally classified into two categories：the inward and outward methods. Placement procedure suited for certain conditions must be selected. Recognition of appropriate procedures for PEG placement and replacement is crucial for endoscopists to manage PEG related practices. For cancer patients, PEG plays important roles including feeding with specific nutritients. For patients with bowel obstructions, systems have been created for the purpose of decompression, which may enhance the quality of life for patients percutaneous trans-esophageal gastrotubing (PTEG) may be an alternative to PEG in cases with difficulties in PEG placement. |