Gastroenterologist's Guide to Gastrostomies

Dig Dis Sci. 2022 Aug;67(8):3488-3496. doi: 10.1007/s10620-022-07538-0. Epub 2022 May 17.

Abstract

Gastroenterologists are frequently consulted for evaluation feeding tube placement, or for management of complications in an existing feeding tube. Though a frequent topic of consultation for GI Fellows, there are few comprehensive resources for feeding tube placement and troubleshooting available. In this review, we discuss different types of feeding tubes, when each should be considered, and various methods and techniques for placement. Considerations for when one type, method, technique, or specialty may be preferred over the other will be discussed. Additionally, we discuss management of the many complications of indwelling feeding tubes. Our goal is to create a comprehensive review for gastroenterologists to cover clinically relevant questions related to feeding tube placement and management.

Keywords: Complications; DPEJ; Enteral feeding; Feeding tube; Gastrostomy tubes; Indications; PEG; PEGJ.

Publication types

  • Review

MeSH terms

  • Enteral Nutrition / adverse effects
  • Enteral Nutrition / methods
  • Gastroenterologists*
  • Gastrostomy* / methods
  • Humans
  • Intubation, Gastrointestinal / methods