PMID- 35719902
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 1948-5190 (Print)
IS  - 1948-5190 (Electronic)
VI  - 14
IP  - 5
DP  - 2022 May 16
TI  - Percutaneous endoscopic gastrostomy and jejunostomy: Indications and techniques.
PG  - 250-266
LID - 10.4253/wjge.v14.i5.250 [doi]
AB  - 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.
CI  - (c)The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights 
      reserved.
FAU - Fugazza, Alessandro
AU  - Fugazza A
AD  - Division of Gastroenterology and Digestive Endoscopy, Department of 
      Gastroenterology, Humanitas Research Hospital - IRCCS, Rozzano 20089, Milan, 
      Italy. alessandro.fugazza@humanitas.it.
FAU - Capogreco, Antonio
AU  - Capogreco A
AD  - Division of Gastroenterology and Digestive Endoscopy, Department of 
      Gastroenterology, Humanitas Research Hospital - IRCCS, Rozzano 20089, Milan, 
      Italy.
FAU - Cappello, Annalisa
AU  - Cappello A
AD  - Unit of Gastroenterology and Digestive Endoscopy, AUSL Bologna Bellaria-Maggiore 
      Hospital, Bologna 40121, Italy.
FAU - Nicoletti, Rosangela
AU  - Nicoletti R
AD  - Division of Gastroenterology and Digestive Endoscopy, Department of 
      Gastroenterology, Humanitas Research Hospital - IRCCS, Rozzano 20089, Milan, 
      Italy.
FAU - Da Rio, Leonardo
AU  - Da Rio L
AD  - Division of Gastroenterology and Digestive Endoscopy, Department of 
      Gastroenterology, Humanitas Research Hospital - IRCCS, Rozzano 20089, Milan, 
      Italy.
FAU - Galtieri, Piera Alessia
AU  - Galtieri PA
AD  - Division of Gastroenterology and Digestive Endoscopy, Department of 
      Gastroenterology, Humanitas Research Hospital - IRCCS, Rozzano 20089, Milan, 
      Italy.
FAU - Maselli, Roberta
AU  - Maselli R
AD  - Division of Gastroenterology and Digestive Endoscopy, Department of 
      Gastroenterology, Humanitas Research Hospital - IRCCS, Rozzano 20089, Milan, 
      Italy.
FAU - Carrara, Silvia
AU  - Carrara S
AD  - Division of Gastroenterology and Digestive Endoscopy, Department of 
      Gastroenterology, Humanitas Research Hospital - IRCCS, Rozzano 20089, Milan, 
      Italy.
FAU - Pellegatta, Gaia
AU  - Pellegatta G
AD  - Division of Gastroenterology and Digestive Endoscopy, Department of 
      Gastroenterology, Humanitas Research Hospital - IRCCS, Rozzano 20089, Milan, 
      Italy.
FAU - Spadaccini, Marco
AU  - Spadaccini M
AD  - Division of Gastroenterology and Digestive Endoscopy, Department of 
      Gastroenterology, Humanitas Research Hospital - IRCCS, Rozzano 20089, Milan, 
      Italy.
FAU - Vespa, Edoardo
AU  - Vespa E
AD  - Division of Gastroenterology and Digestive Endoscopy, Department of 
      Gastroenterology, Humanitas Research Hospital - IRCCS, Rozzano 20089, Milan, 
      Italy.
FAU - Colombo, Matteo
AU  - Colombo M
AD  - Division of Gastroenterology and Digestive Endoscopy, Department of 
      Gastroenterology, Humanitas Research Hospital - IRCCS, Rozzano 20089, Milan, 
      Italy.
FAU - Khalaf, Kareem
AU  - Khalaf K
AD  - Division of Gastroenterology and Digestive Endoscopy, Department of 
      Gastroenterology, Humanitas Research Hospital - IRCCS, Rozzano 20089, Milan, 
      Italy.
FAU - Repici, Alessandro
AU  - Repici A
AD  - Division of Gastroenterology and Digestive Endoscopy, Department of 
      Gastroenterology, Humanitas Research Hospital - IRCCS, Rozzano 20089, Milan, 
      Italy.
FAU - Anderloni, Andrea
AU  - Anderloni A
AD  - Division of Gastroenterology and Digestive Endoscopy, Department of 
      Gastroenterology, Humanitas Research Hospital - IRCCS, Rozzano 20089, Milan, 
      Italy.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - World J Gastrointest Endosc
JT  - World journal of gastrointestinal endoscopy
JID - 101532474
PMC - PMC9157691
OTO - NOTNLM
OT  - Enteral nutrition
OT  - Gastrostomy
OT  - Indications and techniques
OT  - Percutaneous endoscopic gastrostomy
OT  - Percutaneous endoscopic jejunostomy
COIS- Conflict-of-interest statement: All the authors declare that they have no 
      competing interests related to the topic.
EDAT- 2022/06/21 06:00
MHDA- 2022/06/21 06:01
PMCR- 2022/05/16
CRDT- 2022/06/20 03:35
PHST- 2021/04/17 00:00 [received]
PHST- 2021/08/03 00:00 [revised]
PHST- 2022/04/24 00:00 [accepted]
PHST- 2022/06/20 03:35 [entrez]
PHST- 2022/06/21 06:00 [pubmed]
PHST- 2022/06/21 06:01 [medline]
PHST- 2022/05/16 00:00 [pmc-release]
AID - 10.4253/wjge.v14.i5.250 [doi]
PST - ppublish
SO  - World J Gastrointest Endosc. 2022 May 16;14(5):250-266. doi: 
      10.4253/wjge.v14.i5.250.