Percutaneous endoscopic gastrostomy/jejunostomy (PEG/PEJ) for decompression in the upper gastrointestinal tract

Abstract

We believe that PEG/PEJ represents an effective, minimally invasive, and cost-effective method for gastrointestinal decompression in patients with advanced incurable cancer.

Percutaneous endoscopic gastrostomy for decompression of malignant bowel obstruction

“…Percutaneous endoscopic gastrostomy (PEG) was initially developed to provide long‐term access for enteral nutrition, and has also been used for bowel decompression due to malignant and non‐malignant obstructions (decompressive PEG) . Although decompressive PEG is an effective alternative to nasogastric tube insertion, previous reports included relatively small numbers of patients and the details of post‐procedural outcomes and complications are lacking.…”

“…Among previous reports regarding the pull method, wound infection and cellulitis with or without stomal leakage occurred in 4.7–21% of patients (Table ). Scheidbach et al . reported that in all patients, wound infections occurred irrespective of the use of prophylactic antibiotics.…”

Gastrostomies in palliative care

“…In our study, only one patient underwent a gastrostomy to drain the bowel content, but in the study of Hull et al [9], 67% of the gastrostomies were performed in patients with bowel obstruction. There are also studies describing only gastrostomies for drainage [11,[13][14][15] showing satisfactory safety and significant improvement in the patients' quality of life.…”

Therapie gastroenterologischer Krankheiten

“…Scheidenbach 1999].Auch zur Gastropexie bei intermittierendem Magenvolvulus ist die PEG verwendet worden [Altenwerth 1994]. Scheidenbach 1999].Auch zur Gastropexie bei intermittierendem Magenvolvulus ist die PEG verwendet worden [Altenwerth 1994].…”