Johns Hopkins Manual for GI Endoscopic Nurses, Third Edition

Mouen Khashab, MD; Toshunia Robinson, MD; Anthony Kalloo, MD

Chapter 18: Percutaneous Endoscopic Gastrostomy Tube Placement (continued)

David W. Victor III, MD

Percutaneous endoscopic gastrostomy (PEG) refers to the endoscopic placement of a semipermanent gastric feeding tube. The most common indication for PEG placement is failure of oral feedings. Patients with swallowing problems (stroke, severe psychomotor retardation, progressive degenerative diseases, neurologic neoplasm, or trauma) and patients with esophageal obstruction (oropharyngeal and esophageal carcinoma) may benefit from PEG placement. A PEG tube may be used to deliver unpalatable medications and supplemental feedings. PEGs are also used in patients for gastric decompression from…