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In this episode, we review percutaneous endoscopic gastrostomy (PEG) tube placement, a commonly performed procedure for long-term enteral access. We discuss indications such as chronic dysphagia and upper GI obstruction, key contraindications, and the relevant anatomy required for safe placement. The episode walks through the pull technique step-by-step, emphasizing site selection, infection prevention, and complication avoidance. We also cover post-procedure management, tube care, and troubleshooting common issues.
References
1) Bushardt RL, Colomb-Lippa DM, Klinger AM, Reed H. The JAAPA QRS Review for PAs: Study Plan and Guide for PANCE and PANRE. 1st ed. LWW; 2021. ISBN: 9781975143817.
2) Vudayagiri L, Hoilat GJ, Gemma R. Percutaneous Endoscopic Gastrostomy Tube. [Updated 2023 Aug 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK535371/
3) Liu X, Yang Z, He S, Wang G. Percutaneous endoscopic gastrostomy. Int J Gastrointest Interv 2021;10:42-48. https://doi.org/10.18528/ijgii210015
4) Wei M, Ho E, Hegde P. An overview of percutaneous endoscopic gastrostomy tube placement in the intensive care unit. J Thorac Dis 2021;13(8):5277-5296. doi: 10.21037/jtd-19-3728
By Kristopher Maday, PA-C, DFAAPAIn this episode, we review percutaneous endoscopic gastrostomy (PEG) tube placement, a commonly performed procedure for long-term enteral access. We discuss indications such as chronic dysphagia and upper GI obstruction, key contraindications, and the relevant anatomy required for safe placement. The episode walks through the pull technique step-by-step, emphasizing site selection, infection prevention, and complication avoidance. We also cover post-procedure management, tube care, and troubleshooting common issues.
References
1) Bushardt RL, Colomb-Lippa DM, Klinger AM, Reed H. The JAAPA QRS Review for PAs: Study Plan and Guide for PANCE and PANRE. 1st ed. LWW; 2021. ISBN: 9781975143817.
2) Vudayagiri L, Hoilat GJ, Gemma R. Percutaneous Endoscopic Gastrostomy Tube. [Updated 2023 Aug 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK535371/
3) Liu X, Yang Z, He S, Wang G. Percutaneous endoscopic gastrostomy. Int J Gastrointest Interv 2021;10:42-48. https://doi.org/10.18528/ijgii210015
4) Wei M, Ho E, Hegde P. An overview of percutaneous endoscopic gastrostomy tube placement in the intensive care unit. J Thorac Dis 2021;13(8):5277-5296. doi: 10.21037/jtd-19-3728