Narrative review outlines prevention and management strategies for major complications in percutaneous endoscopic gastrostomy, highlighting the critical need for early recognition to reduce morbidity.
BACKGROUND: Percutaneousendoscopic gastrostomy is a commonly used endoscopic technique where a tube isplaced through the abdominal wall mainly to administer fluids, drugs and/orenteral nutrition. Several placement techniques are described in the literaturewith the 'pull' technique (Ponsky-Gardener) as the most popular one.Independent of the method used, placement includes a 'blind' perforation of thestomach through a small acute surgical abdominal wound. It is a generally safetechnique with only few major complications. Nevertheless these complicationscan be sometimes life-threatening or generate serious morbidity. METHOD: Anarrative review of the literature of major complications in percutaneousendoscopic gastrostomy. RESULTS: This review was written from a clinical viewpoint focussing on prevention andmanagement of major complications and documentedscientific evidence with real cases from more than 20 years of clinical practice. CONCLUSIONS: Majorcomplications are rare but prevention, early recognition and popper management areimportant.
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Boeykens et al. (2021) studied this question.
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