Percutaneous endoscopic gastrostomy (PEG) has become the primary procedure for the long-term nutrition of patients with swallowing disorders. It has been shown to be an effective method with a lower complication rate than surgical placement [1]. It can be performed in the intensive care unit, but complications may occasionally occur. The estimated incidence of major complications is 8% [2]. Abs...

A 64-year-old man with Parkinson’s diseasewas being treatedwith levodopa-carbidopa intestinal gel formulation through a percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) tube that had been placed in 2010. In April 2014, he complained of abdominal distension, pain, bloating, food intolerance, and a pulling sensation from the PEG-J tube. At the physical examination, we observed a...

Percutaneous endoscopic gastrostomy was done for feeding purposes in 3 patients with inoperable carcinoma of oesophagus and oropharynx. Procedure was tolerated well by all with no complications. All the patients were able to maintain their weight till death. The procedure is safe and cost effective for enteral feeding in patients with dysphagia (JPMA 38: 179, 1988).

A 64-year oldmanwith a history of chronic obstructive pulmonary disease was admitted via the emergency clinic with respiratory failure. He was intubated and hospitalized in the intensive care unit. Because of difficulty weaning him from mechanical ventilation, a tracheostomy was performed. On the 20th day of hospitalization, a percutaneous endoscopic gastrostomy (PEG) tube was inserted. Enteral...

Percutaneous endoscopic gastrostomy is a safe way for enteral nutrition in selected patients. Generally, complications of this procedure are very rare but due to patients general health condition, delayed diagnosis and treatment of complications can be life threatening. In this study, we present a PEG-related massive pneumoperitoneum and subcutaneous emphysema in a patient with neuro-Behçet.

BACKGROUND/PURPOSE The percutaneous endoscopic gastrostomy (PEG) is contested on the ground that it could cause gastroesophageal reflux (GER). The authors studied the complications of PEG to ponder the validity of this contraindication. METHODS The authors followed up with a group of 81 patients subjected to PEG to assess their complications, GER in particular. RESULTS In half of the patien...

Patients with neurologic dysfunction are at increased risk for malnutrition due to a combination of cognitive, behavioral and mechanical problems. Cohort studies have shown that 20-50% of hospital patients are malnourished (McWhirter & Pennington, 1994; Norman et al., 2008; Kurien et al., 2010), and 20-40% of critically ill patients show evidence of proteinenergy malnutrition (Ziegler, 2009). A...

We report a 47-year-old man who underwent endoscopic gastrostomy placement due to feeding refusal and regurgitation. Procedure was unremarkable. Two days later, the patient presented signs of intestinal obstruction. Computed tomography imaging showed a well-positioned gastrostomy tube, small pneumoperitoneum, and small bowel volvulus (SBV) in the upper right abdomen with proximal small bowel di...