The various technical options that have been described for gastrostomy tube placement in children include the time honored Stamm procedure, percutaneous endoscopic gastrostomy (PEG), percutaneous fluoroscopy-guided gastrostomy, several types of laparoscope-assisted gastrostomy (LG), video-assisted gastrostomy, and a combined laparoscopic and endoscopic approach as well as different variations o...

The following article is intended to provide a review of the current state of enteral feeding; a rapidly changing and developing field. It covers the type of feed, the routes of access, and the problems that can occur with enteral feeding.

CONTEXT Healthcare-associated infection represents the most frequent adverse event during care delivery. Medical advances like percutaneous endoscopic gastrostomy have brought improvement on quality of life to patients but an increased risk of healthcare-associated infection. Predictive risk factors for peristomal wound infection are largely unknown but evidence suggests that antibiotic prophyl...

Persistent gastrocutaneous fistula after the removal of a gastrostomy tube is an unusual complication associated with percutaneous endoscopic gastrostomy (PEG). Surgical closure has been usually the treatment of choice. Several endoscopic methods have been previously attempted to close the fistula, usually with poor results. We report a successful case of percutaneous endoscopic suturing of a p...

Surgeons share their challenges and dilemmas in making ethical decisions in these twelve personal stories. The three commentary articles draw out the lessons the stories address. The commentators come from diverse backgrounds including sociology, bioethics, nursing, and surgery.

background: aspiration pneumonia is a potentially preventable illness requiring attention to small details of patient care. the type, management, and care of feeding should be carried out properly. materials andmethods: this is a prospective clinical study of enteral feeding on patients admitted to hospital with aspiration pneumonia. the known enteral nutritional methods, advantages,and disadva...

CONTEXT Esophageal cancer is often diagnosed at an advanced stage and has a poor prognosis. Most patients with advanced esophageal cancer have significant dysphagia that contributes to weight loss and malnutrition. Esophageal stenting is a widespread palliation approach, but unsuitable for cancers near the upper esophageal sphincter, were stents are poorly tolerated. Generally, guidelines do no...

Introduction: Gastrocolocutaneous fistula is a rare complication of percutaneous endoscopic gastrostomy tube placement that can present early at the time of insertion or late due to misplacement of gastrostomy tube through colon. It is suspected if there is profuse diarrhea after each tube feed, feculent drainage through or around the gastrostomy tube. Case Report: We report a rare case of gast...