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UPPER GI ENDOSCOPY

(Therapeutic)

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Complications of percutaneous gastrostomy (PEG) and jejunostomy (PEJ).An overview.

PEG is the technique relatively safe and well established for long time nutrition in contrast to PEJ, which is not widely accepted due to tube kinking, clogging and displacement.

Placement problems :

Placement problems occur in 17 % of cases.

Infection :

- severe wound infections	rare
- peristomal infections	7.3 %

Tube migration :

Tube migration, leakage and peristomal infections occur in 30 % of cases.

Gastric perforation

Tube-related problems............................12 %

Feeding-related complications......................15 %

Local skin infections .......................................7.3 %

Other complications of percutaneous gastrostomy (PEG) and jejunostomy (PEJ).

gastrocolic fistula

gastric or esophageal haemorrage

peritonitis

procedure-related aspiration

neoplastic seeding of the PEG site following tube placement

gastroesophageal reflux

air embolism