eISSN: 2300-6722
ISSN: 1899-1874
Medical Studies/Studia Medyczne
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3/2016
vol. 32
 
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abstract:
Review paper

Percutaneous endoscopic gastrostomy – a simple solution to a complex problem

Przemysław Wolak
1, 2
,
Renata Skiba
3
,
Wojciech Niedziela
4

1.
Department of Paediatric Surgery, Urology and Traumatology, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland
2.
Department of Anatomy, Institute of Medical Sciences, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland
3.
Operating Theater of the Voivodeship Specialist Pediatric Hospital, Kielce, Poland
4.
Department of Paediatric Surgery, Urology and Traumatology, Voivodeship Specialist Hospital, Kielce, Poland
Medical Studies/Studia Medyczne 2016; 32 (3): 204–208
Online publish date: 2016/09/22
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Percutaneous endoscopic gastrostomy (PEG) was performed for the first time in the world on 12 June 1979. At present, the method of using gastrostomy has almost entirely superseded classical methods, which is related with its simplicity, lower costs, lack of need for hospital stay (PEG is often placed in ambulatory conditions) or a shorter period of hospitalisation, as well as a smaller number of complications compared to classical methods. The indications for gastrostomy are possibilities of feeding directly into the gastrointestinal tract, avoiding the oral cavity, throat, and oesophagus (for various reasons), or decompression of the gastrointestinal tract in the case of its obstruction as a palliative procedure. Gastrostomy may be performed by a classical open technique or by laparoscopic or endoscopic methods. Percutaneous endoscopic gastrostomy is the most common form of gastrostomy.
keywords:

gastrointestinal intubation, child, gastrostomy, protein-energy malnutrition

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