Percutaneous endoscopic gastrostomy and jejunostomy:Indications and techniques  

作　　者：Alessandro Fugazza Antonio Capogreco Annalisa Cappello Rosangela Nicoletti Leonardo Da Rio Piera Alessia Galtieri Roberta Maselli Silvia Carrara Gaia Pellegatta Marco Spadaccini Edoardo Vespa Matteo Colombo Kareem Khalaf Alessandro Repici Andrea Anderloni 

机构地区：[1]Division of Gastroenterology and Digestive Endoscopy,Department of Gastroenterology,Humanitas Research Hospital-IRCCS,Rozzano 20089,Milan,Italy [2]Unit of Gastroenterology and Digestive Endoscopy,AUSL Bologna Bellaria-Maggiore Hospital,Bologna 40121,Italy [3]Department of Biomedical Sciences,Humanitas University,Pieve Emanuele 20072,Milan,Italy

出　　处：《World Journal of Gastrointestinal Endoscopy》2022年第5期250-266,共17页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：Nutritional support is essential in patients who have a limited capability to maintain their body weight.Therefore,oral feeding is the main approach for such patients.When physiological nutrition is not possible,positioning of a nasogastric,nasojejunal tube,or other percutaneous devices may be feasible alternatives.Creating a percutaneous endoscopic gastrostomy(PEG)is a suitable option to be evaluated for patients that need nutritional support for more than 4 wk.Many diseases require nutritional support by PEG,with neurological,oncological,and catabolic diseases being the most common.PEG can be performed endoscopically by various techniques,radiologically or surgically,with different outcomes and related adverse events(AEs).Moreover,some patients that need a PEG placement are fragile and are unable to express their will or sign a written informed consent.These conditions highlight many ethical problems that become difficult to manage as treatment progresses.The aim of this manuscript is to review all current endoscopic techniques for percutaneous access,their indications,postprocedural follow-up,and AEs.

关 键 词：Percutaneous endoscopic gastrostomy Enteral nutrition GASTROSTOMY Percutaneous endoscopic jejunostomy Indications and techniques 

分 类 号：R656[医药卫生—外科学]