29:
267:
536:
575:
PEG tubes with rigid, fixed "bumpers" are removed endoscopically. The PEG tube is pushed into the stomach so that part of the tube is visible behind the bumper. An endoscopy snare is then passed through the endoscope, and passed over the bumper so that the tube adjacent to the bumper is grasped. The
459:
recommend against inserting percutaneous feeding tubes in individuals with advanced dementia and, instead, recommend oral assisted feedings. Artificial nutrition neither prolongs life nor improves its quality in patients with advanced dementia. It may increase the risk of the patient inhaling food,
609:-month-old child with inadequate oral intake. The authors of the technique, Michael W.L. Gauderer and Jeffrey Ponsky, first published the technique in 1980. In 2001, the details of the development of the procedure were published, the first author being the originator of the technique itself.
247:
A gastrostomy can be placed to decompress the stomach contents in a patient with a malignant bowel obstruction. This is referred to as a "venting PEG" and is placed to prevent and manage nausea and vomiting.
255:
of the stomach, where the stomach twists along one of its axes. The tube (or multiple tubes) is used for gastropexy, or adhering the stomach to the abdominal wall, preventing twisting of the stomach.
576:
external part of the tube is then cut, and the tube is withdrawn into the stomach, and then pulled up into the esophagus and removed through the mouth. The PEG site heals without intervention.
477:
decreases the proportion of people developing MRSA infections compared with no antibiotic prophylaxis (in people without cancer) undergoing percutaneous endoscopic gastrostomy insertion.
460:
it does not reduce suffering, it may cause fluid overload, diarrhea, abdominal pain and local complications, and it can reduce the amount of human interaction the patient experiences.
758:
342:
There are several techniques such as moderate sedation with left transversus abdominis plane block, and moderate sedation with local anesthetic infiltration at feeding tube site.
962:
936:
983:
244:
is preferable. Quality improvement protocols have been developed with the aim of reducing the number of non-beneficial gastrostomies in patients with dementia.
1308:
512:
Gastrocolic fistula: this may be suspected if diarrhea appears a short time after feeding. In this case, the feed goes direct from stomach to colon (usually
201:
due to poor control over the swallowing muscles; some will benefit from a PEG performed to maintain nutrition. PEGs may also be inserted to decompress the
456:
350:
As with other types of feeding tubes, care must be made to place PEGs into an appropriate population. The following are contraindications to PEG use:
2209:
579:
PEG tubes with a collapsible or deflatable bumper can be removed using traction (simply by pulling the PEG tube out through the abdominal wall).
469:
Surgical site infection around the gastrostomy site. Administration of intravenous antibiotics can reduce infection around the gastrostomy site.
83:
1980:
642:
1941:
1096:"Antibiotic prophylaxis for the prevention of methicillin-resistant Staphylococcus aureus (MRSA) related complications in surgical patients"
595:. Michael W.L. Gauderer, pediatric surgeon, Jeffrey Ponsky, endoscopist, and James Bekeny, surgical resident, performed the procedure on a
2006:
1584:
1344:
588:
869:
Deitel M, Bendago M, Spratt EH, Burul CJ, To TB (1988). "Percutaneous endoscopic gastrostomy by the "pull" and "introducer" methods".
796:"Using rapid-cycle quality improvement methodology to reduce feeding tubes in patients with advanced dementia: before and after study"
2011:
1301:
1747:
966:
943:
304:
transillumination (diaphanoscopy): the light emitted from the endoscope within the stomach can be seen through the abdominal wall.
236:
In certain situations where normal or nasogastric feeding is not possible, gastrostomy may be of no clinical benefit. In advanced
1904:
193:
PEG administration of enteral feeds is the most commonly used method of nutritional support for patients in the community. Many
448:
923:
323:. The feeding tube is attached to the guidewire and pulled through the mouth, esophagus, stomach, and out of the incision.
301:
digital pressure is applied to the abdominal wall, which can be seen indenting the anterior gastric wall by the endoscopist.
1459:
1294:
898:"Early versus delayed feeding after placement of percutaneous endoscopic gastrostomy tube with safe anesthetic techniques"
990:
713:
Murphy LM, Lipman TO (2003). "Percutaneous endoscopic gastrostomy does not prolong survival in patients with dementia".
1946:
2255:
2204:
2199:
592:
171:
844:
438:
Intra-abdominal malignancy with peritoneal involvement (tumor seeding into formed channel with subsequent failure)
1737:
1244:
Gauderer MW, Ponsky JL, Izant RJ (1980). "Gastrostomy without laparotomy: a percutaneous endoscopic technique".
1444:
1395:
1826:
1570:
1418:
162:(which is only used when the GI tract must be avoided). The PEG procedure is an alternative to open surgical
1286:
2092:
1811:
1638:
1515:
1335:
896:
Abdalgaleil, Mohamed M; Shaat, Ahmed M; Elbalky, Osama S; Elnagaar, Mohamed S; Kamoun, Amr M (2018-07-01).
155:
67:
2001:
1836:
1380:
474:
452:
330:
is used to place a wire into the stomach, and a series of dilators are used to increase the size of the
1909:
1831:
1699:
1558:
360:
2097:
1887:
1801:
1709:
1628:
1400:
1390:
623:
1208:
727:
678:
Gauderer MW (2001). "Percutaneous endoscopic gastrostomy-20 years later: a historical perspective".
650:
2245:
2191:
2046:
1704:
1385:
1327:
422:: difficulties in locating stomach position by digital indentation of stomach and transillumination
2140:
2056:
1681:
1439:
563:
Failure, breakage or deterioration of PEG tube (a new tube can be sited along the existing track)
587:
The first percutaneous endoscopic gastrostomy performed on a child was on June 12, 1979, at the
2170:
1985:
1449:
1318:
1203:
1094:
Gurusamy KS, Koti R, Wilson P, Davidson BR, et al. (Cochrane Wounds Group) (August 2013).
722:
523:
71:
918:
Gastroenterological endoscopy. Meinhard
Classen, G. N. J. Tytgat, Charles J. Lightdale. 2002.
289:. The anterior stomach wall is identified and techniques are used to ensure that there is no
2145:
2075:
1931:
1525:
1486:
757:
470:
937:"Feeding tubes for people with Alzheimer's disease: When you need them — and when you don't"
2214:
1742:
1045:
Lipp A, Lusardi G, et al. (The
Cochrane Collaboration) (November 2013). Lipp A (ed.).
762:
554:
226:
198:
159:
28:
307:
a small (21G, 40mm) needle is passed into the stomach before the larger cannula is passed.
8:
2117:
2041:
1936:
1841:
1816:
1732:
1727:
1671:
1466:
488:
either at the site of the button or on the opposite wall of the stomach ("kissing ulcer")
327:
1116:
1095:
2250:
1611:
1454:
1167:
1140:
1071:
1046:
897:
217:
Gastrostomy may be indicated in numerous situations, usually those in which normal (or
167:
1257:
963:"White Paper on Surrogate Decision-Making and Advance Care Planning in Long-Term Care"
820:
795:
2177:
2061:
2023:
1869:
1779:
1601:
1493:
1434:
1261:
1223:
1172:
1141:"Malposition of percutaneous endoscopic-guided gastrostomy: Guideline and management"
1121:
1076:
919:
878:
825:
740:
695:
409:
382:
316:
230:
123:
78:
47:
1010:
2181:
2018:
1424:
1253:
1213:
1162:
1152:
1111:
1107:
1103:
1066:
1062:
1058:
815:
807:
732:
687:
513:
496:
241:
221:) feeding is impossible. The causes for these situations may be neurological (e.g.
218:
206:
52:
2219:
1996:
1992:
1975:
1970:
1757:
1653:
1643:
1618:
1606:
1593:
1545:
771:
767:
736:
402:
290:
175:
2224:
2051:
1914:
1859:
1565:
1535:
1429:
1370:
1353:
419:
240:, studies show that PEG placement does not in fact prolong life. Instead, oral
131:
1281:
2239:
2135:
1864:
1794:
1530:
1365:
1316:
811:
485:
416:: increased risk of organs interposed between gastric wall and abdominal wall
274:
Two major techniques for placing PEGs have been described in the literature.
1218:
1191:
1157:
1047:"Systemic antimicrobial prophylaxis for percutaneous endoscopic gastrostomy"
691:
158:) despite bypassing the mouth; enteral nutrition is generally preferable to
2112:
1926:
1821:
1806:
1661:
1227:
1176:
1125:
1080:
829:
744:
699:
618:
366:
1265:
882:
2102:
1958:
1921:
1789:
1784:
1769:
1633:
1520:
1503:
1481:
1471:
1375:
500:
413:
371:
331:
278:
163:
848:
102:
2165:
2107:
2084:
1851:
1719:
1498:
1476:
1011:"Against the Flow: Tube Feeding and Survival in Patients with Dementia"
480:
258:
A PEG tube can be used in providing gastric or post-surgical drainage.
63:
319:, and a soft guidewire is inserted through this and pulled out of the
1962:
1765:
1676:
1666:
1623:
1553:
1357:
492:
432:
151:
139:
120:
2033:
1774:
426:
312:
252:
237:
143:
1410:
396:
377:
286:
282:
202:
187:
183:
147:
90:
842:
Gail Waldby, "PEG-J Gastrostomy drainage jejunal feeding tubes"
2127:
1691:
1138:
895:
775:, AMDA – The Society for Post-Acute and Long-Term Care Medicine
550:
526:" (the gastric part of the tube migrates into the gastric wall)
266:
222:
194:
1192:"Buried Bumper Syndrome complicated by intra-abdominal sepsis"
535:
16:
Feeding tube going into the stomach through the abdominal wall
1896:
759:
AMDA – The
Society for Post-Acute and Long-Term Care Medicine
506:
320:
135:
294:
174:
is typically used. PEG tubes may also be extended into the
1093:
965:. American Medical Directors Association -. Archived from
1139:
Siamak
Milanchi; Matthew T Wilson (January–March 2008).
1024:(1). American Academy of Hospice and Palliative Medicine
868:
984:"Feeding Tubes in Advanced Dementia Position Statement"
981:
549:
PEG tube no longer required (recovery of swallow after
315:
is used to puncture the abdominal wall through a small
553:
or brain trauma, or after surgery or radiotherapy for
763:"Ten Things Physicians and Patients Should Question"
277:
The
Gauderer-Ponsky technique involves performing a
1282:
1243:
457:
American
Academy of Hospice and Palliative Medicine
134:, most commonly to provide a means of feeding when
1189:
982:Daniel K, Rhodes R, Vitale C, Shega J (May 2013).
229:during the process of correction) or other (e.g.
130:) is passed into a patient's stomach through the
2237:
270:PEG tube, cannula and guidewire (Pull Technique)
138:intake is not adequate (for example, because of
793:
1942:Transjugular intrahepatic portosystemic shunt
1343:
1302:
1239:
1237:
989:. American Geriatrics Society. Archived from
389:
385:(unless the PEG is sited to provide drainage)
353:
334:. The tube is then pushed in over the wire.
1057:(11). John Wiley & Sons, Ltd: CD005571.
712:
673:
671:
669:
667:
649:. Baylor College of Medicine. Archived from
1100:The Cochrane Database of Systematic Reviews
1051:The Cochrane Database of Systematic Reviews
1044:
677:
1592:
1309:
1295:
1234:
862:
27:
2083:
1217:
1207:
1166:
1156:
1115:
1070:
819:
726:
664:
435:: increased risk of infection of PEG site
326:In the Russell introducer technique, the
1748:Transanal hemorrhoidal dearterialization
589:Rainbow Babies & Children's Hospital
534:
337:
265:
251:A gastrostomy can also be used to treat
1905:Artificial extracorporeal liver support
530:
442:
233:for tumors in head & neck region).
2238:
1190:Walters G, Ramesh P, Memon MI (2005).
449:American Medical Directors Association
197:patients, for example, are at risk of
1290:
908:(3). Medknow Publications: 1058–1063.
401:Gastric mucosal abnormalities: large
178:by passing a jejunal extension tube (
150:nutrition (making use of the natural
1460:Vertical banded gastroplasty surgery
1008:
345:
182:) through the PEG tube and into the
1509:Percutaneous endoscopic gastrostomy
1317:Tests and procedures involving the
113:Percutaneous endoscopic gastrostomy
33:Percutaneous endoscopic gastrostomy
22:Percutaneous endoscopic gastrostomy
13:
1947:Distal splenorenal shunt procedure
942:. Consumer Reports. Archived from
166:insertion, and does not require a
14:
2267:
1275:
647:BCM Gastroenterology Grand Rounds
593:University Hospitals of Cleveland
505:Puncture of the left lobe of the
405:, portal hypertensive gastropathy
560:Persistent infection of PEG site
543:
463:
376:Untreatable (loculated) massive
1738:Lateral internal sphincterotomy
1183:
1132:
1087:
1038:
928:
570:
1445:Endoscopic sleeve gastroplasty
1396:Functional Lumen Imaging Probe
1108:10.1002/14651858.CD010268.pub2
1063:10.1002/14651858.cd005571.pub3
912:
889:
836:
794:Monteleoni C, Clark E (2004).
787:
751:
706:
635:
539:Endoscopic removal of PEG tube
212:
1:
1827:Lower gastrointestinal series
1571:Upper gastrointestinal series
1258:10.1016/S0022-3468(80)80296-X
629:
509:leading to liver capsule pain
412:, including previous partial
261:
2093:Diagnostic peritoneal lavage
1812:Double-contrast barium enema
1639:Partial ileal bypass surgery
1516:Esophagogastric dissociation
737:10.1001/archinte.163.11.1351
68:Gastrointestinal perforation
7:
1910:Bioartificial liver devices
1837:Transrectal ultrasonography
612:
453:American Geriatrics Society
10:
2272:
1832:Small-bowel follow-through
1700:Abdominoperineal resection
1559:Esophagogastroduodenoscopy
582:
390:Relative contraindications
361:esophagogastroduodenoscopy
354:Absolute contraindications
2192:Clinical prediction rules
2190:
2158:
2126:
2098:Intraperitoneal injection
2074:
2032:
1957:
1895:
1886:
1850:
1802:Abdominal ultrasonography
1756:
1718:
1710:Total mesorectal excision
1690:
1652:
1629:Intestine transplantation
1583:
1544:
1419:Sengstaken–Blakemore tube
1409:
1401:High resolution manometry
1391:Esophageal motility study
1352:
1334:
1325:
624:Minimally conscious state
293:between the wall and the
99:
89:
77:
58:
46:
38:
26:
21:
2256:Digestive system surgery
2047:Pancreas transplantation
1705:Lower anterior resection
1386:Esophageal pH monitoring
1328:Digestive system surgery
902:Menoufia Medical Journal
812:10.1136/bmj.329.7464.491
566:"Buried bumper syndrome"
359:Inability to perform an
2141:Inguinal hernia surgery
2057:Pancreaticoduodenectomy
1440:Adjustable gastric band
1381:Impedance–pH monitoring
1158:10.4103/0972-9941.40989
1009:Buff DD (Spring 2006).
770:: an initiative of the
692:10.1053/jpsu.2001.20058
70:, Gastrocolic fistula,
2171:Exploratory laparotomy
1986:Hepatoportoenterostomy
1450:Gastric bypass surgery
1319:human digestive system
540:
524:Buried bumper syndrome
271:
156:gastrointestinal tract
72:Buried bumper syndrome
2146:Femoral hernia repair
1932:Liver transplantation
1526:Nissen fundoplication
1219:10.1093/ageing/afi204
538:
338:Anesthetic management
269:
1743:Rubber band ligation
1682:Hartmann's operation
996:on 21 September 2013
555:head and neck cancer
531:Removal of PEG tubes
443:In advanced dementia
227:cleft lip and palate
225:), anatomical (e.g.
199:aspiration pneumonia
160:parenteral nutrition
2118:Peritoneal dialysis
1937:Portal hypertension
1842:Virtual colonoscopy
1817:Endoanal ultrasound
1733:Anorectal manometry
1728:Anal sphincterotomy
1672:Colonic polypectomy
1467:Collis gastroplasty
1145:J Minim Access Surg
969:on 13 December 2013
949:on 12 December 2013
845:"Untitled Document"
328:Seldinger technique
1612:Jejunoileal bypass
1455:Sleeve gastrectomy
541:
519:Gastric separation
272:
168:general anesthetic
2233:
2232:
2178:Rapid urease test
2154:
2153:
2070:
2069:
2062:Puestow procedure
2024:Cholescintigraphy
1882:
1881:
1878:
1877:
1870:Stool guaiac test
1780:Capsule endoscopy
1602:Bariatric surgery
1579:
1578:
1494:Gastroenterostomy
1435:Bariatric surgery
924:978-1-58890-013-5
761:(February 2014),
715:Arch. Intern. Med
410:abdominal surgery
383:Bowel obstruction
346:Contraindications
231:radiation therapy
146:). This provides
126:in which a tube (
124:medical procedure
110:
109:
91:OPS-301 code
2263:
2215:Child–Pugh score
2182:Urea breath test
2081:
2080:
2042:Frey's procedure
2019:Cholecystography
1893:
1892:
1590:
1589:
1425:Nasogastric tube
1350:
1349:
1341:
1340:
1311:
1304:
1297:
1288:
1287:
1270:
1269:
1246:J. Pediatr. Surg
1241:
1232:
1231:
1221:
1211:
1187:
1181:
1180:
1170:
1160:
1136:
1130:
1129:
1119:
1091:
1085:
1084:
1074:
1042:
1036:
1033:
1031:
1029:
1015:
1005:
1003:
1001:
995:
988:
978:
976:
974:
958:
956:
954:
948:
941:
932:
926:
916:
910:
909:
893:
887:
886:
866:
860:
859:
857:
856:
847:. Archived from
840:
834:
833:
823:
791:
785:
783:
782:
780:
755:
749:
748:
730:
710:
704:
703:
680:J. Pediatr. Surg
675:
662:
661:
659:
658:
639:
608:
607:
603:
600:
514:transverse colon
497:transverse colon
281:to evaluate the
242:assisted feeding
207:gastric volvulus
103:edit on Wikidata
53:Gastroenterology
31:
19:
18:
2271:
2270:
2266:
2265:
2264:
2262:
2261:
2260:
2246:Enteral feeding
2236:
2235:
2234:
2229:
2220:Ranson criteria
2186:
2150:
2122:
2066:
2028:
1997:Cholangiography
1993:Medical imaging
1976:Cholecystostomy
1971:Cholecystectomy
1953:
1874:
1846:
1758:Medical imaging
1752:
1714:
1686:
1648:
1644:Strictureplasty
1619:Bowel resection
1607:Duodenal switch
1575:
1546:Medical imaging
1540:
1405:
1336:Digestive tract
1330:
1321:
1315:
1278:
1273:
1242:
1235:
1209:10.1.1.573.2018
1188:
1184:
1137:
1133:
1102:(8): CD010268.
1092:
1088:
1043:
1039:
1027:
1025:
1013:
999:
997:
993:
986:
972:
970:
961:
952:
950:
946:
939:
935:
933:
929:
917:
913:
894:
890:
867:
863:
854:
852:
843:
841:
837:
806:(7464): 491–4.
792:
788:
778:
776:
772:ABIM Foundation
768:Choosing Wisely
756:
752:
728:10.1.1.610.6648
711:
707:
676:
665:
656:
654:
641:
640:
636:
632:
615:
605:
601:
598:
596:
585:
573:
546:
533:
495:(most commonly
491:Perforation of
466:
445:
431:Abdominal wall
403:gastric varices
392:
356:
348:
340:
264:
215:
176:small intestine
154:process of the
106:
34:
17:
12:
11:
5:
2269:
2259:
2258:
2253:
2248:
2231:
2230:
2228:
2227:
2225:Milan criteria
2222:
2217:
2212:
2207:
2202:
2196:
2194:
2188:
2187:
2185:
2184:
2175:
2174:
2173:
2162:
2160:
2156:
2155:
2152:
2151:
2149:
2148:
2143:
2138:
2132:
2130:
2124:
2123:
2121:
2120:
2115:
2110:
2105:
2100:
2095:
2089:
2087:
2078:
2076:Abdominopelvic
2072:
2071:
2068:
2067:
2065:
2064:
2059:
2054:
2052:Pancreatectomy
2049:
2044:
2038:
2036:
2030:
2029:
2027:
2026:
2021:
2016:
2015:
2014:
2009:
2004:
1989:
1988:
1983:
1978:
1973:
1967:
1965:
1955:
1954:
1952:
1951:
1950:
1949:
1944:
1934:
1929:
1924:
1919:
1918:
1917:
1915:Liver dialysis
1912:
1901:
1899:
1890:
1884:
1883:
1880:
1879:
1876:
1875:
1873:
1872:
1867:
1862:
1860:Fecal fat test
1856:
1854:
1848:
1847:
1845:
1844:
1839:
1834:
1829:
1824:
1819:
1814:
1809:
1804:
1798:
1797:
1792:
1787:
1782:
1777:
1772:
1762:
1760:
1754:
1753:
1751:
1750:
1745:
1740:
1735:
1730:
1724:
1722:
1716:
1715:
1713:
1712:
1707:
1702:
1696:
1694:
1688:
1687:
1685:
1684:
1679:
1674:
1669:
1664:
1658:
1656:
1650:
1649:
1647:
1646:
1641:
1636:
1631:
1626:
1621:
1616:
1615:
1614:
1609:
1598:
1596:
1587:
1585:Lower GI tract
1581:
1580:
1577:
1576:
1574:
1573:
1568:
1566:Barium swallow
1563:
1562:
1561:
1550:
1548:
1542:
1541:
1539:
1538:
1536:Schilling test
1533:
1528:
1523:
1518:
1513:
1512:
1511:
1501:
1496:
1491:
1490:
1489:
1484:
1479:
1469:
1464:
1463:
1462:
1457:
1452:
1447:
1442:
1432:
1430:Gastric lavage
1427:
1422:
1415:
1413:
1407:
1406:
1404:
1403:
1398:
1393:
1388:
1383:
1378:
1373:
1371:Heller myotomy
1368:
1362:
1360:
1347:
1345:Upper GI tract
1338:
1332:
1331:
1326:
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1314:
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1276:External links
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1196:Age and Ageing
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1018:AAHPM Bulletin
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721:(11): 1351–3.
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420:Morbid obesity
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1865:Fecal pH test
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1366:Esophagectomy
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851:on 2011-07-16
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685:
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653:on 2012-03-03
652:
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537:
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499:) leading to
498:
494:
490:
487:
486:Gastric ulcer
484:
482:
479:
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468:
467:
464:Complications
461:
458:
454:
450:
437:
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425:Gastric wall
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173:
172:mild sedation
169:
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161:
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61:
59:Complications
57:
54:
51:
49:
45:
41:
37:
30:
25:
20:
2113:Paracentesis
1927:Liver biopsy
1822:Enteroclysis
1807:Defecography
1662:Appendectomy
1508:
1252:(6): 872–5.
1249:
1245:
1202:(6): 650–1.
1199:
1195:
1185:
1148:
1144:
1134:
1099:
1089:
1054:
1050:
1040:
1026:. Retrieved
1021:
1017:
998:. Retrieved
991:the original
971:. Retrieved
967:the original
951:. Retrieved
944:the original
930:
914:
905:
901:
891:
877:(2): 102–4.
874:
870:
864:
853:. Retrieved
849:the original
838:
803:
799:
789:
777:, retrieved
766:
753:
718:
714:
708:
686:(1): 217–9.
683:
679:
655:. Retrieved
651:the original
646:
643:"Discussion"
637:
619:Feeding tube
586:
578:
574:
475:co-amoxiclav
446:
367:coagulopathy
365:Uncorrected
349:
341:
325:
310:
276:
273:
257:
250:
246:
235:
216:
205:in cases of
192:
179:
127:
116:
112:
111:
2103:Laparoscopy
1959:Gallbladder
1922:Hepatectomy
1852:Stool tests
1790:Proctoscopy
1785:Enteroscopy
1770:Colonoscopy
1654:Large bowel
1634:Jejunostomy
1594:Small bowel
1521:Hill repair
1504:Gastrostomy
1482:Billroth II
1472:Gastrectomy
1376:Sialography
544:Indications
501:peritonitis
471:Prophylaxis
414:gastrectomy
372:Peritonitis
332:gastrostomy
279:gastroscopy
219:nasogastric
213:Indications
164:gastrostomy
62:Infection,
39:Other names
2240:Categories
2166:Laparotomy
2108:Omentopexy
2085:Peritoneum
1720:Anal canal
1499:Gastropexy
1477:Billroth I
1151:(1): 1–4.
1028:6 December
1000:6 December
973:6 December
953:6 December
871:Can J Surg
855:2010-10-16
657:2010-10-16
630:References
571:Techniques
481:Hemorrhage
262:Techniques
180:PEG-J tube
121:endoscopic
64:Hemorrhage
2251:Endoscopy
1963:bile duct
1888:Accessory
1766:Endoscopy
1677:Colostomy
1667:Colectomy
1624:Ileostomy
1554:Endoscopy
1487:Roux-en-Y
1358:Esophagus
1204:CiteSeerX
723:CiteSeerX
433:infection
408:Previous
313:angiocath
152:digestion
140:dysphagia
48:Specialty
2034:Pancreas
1775:Anoscopy
1228:16267197
1177:19547728
1126:23959704
1117:11299148
1081:24234575
830:15331474
779:20 April
745:12796072
700:11150469
613:See also
455:and the
427:neoplasm
395:Massive
317:incision
253:volvulus
238:dementia
186:via the
144:sedation
128:PEG tube
119:) is an
79:ICD-9-CM
42:PEG tube
1411:Stomach
1266:6780678
1168:2699054
1072:6823215
883:3349370
604:⁄
583:History
397:ascites
378:ascites
287:stomach
285:of the
283:anatomy
203:stomach
188:pylorus
184:jejunum
148:enteral
2128:Hernia
1692:Rectum
1264:
1226:
1206:
1175:
1165:
1124:
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821:515202
818:
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551:stroke
451:, the
223:stroke
195:stroke
2210:UKELD
2159:Other
1897:Liver
1014:(PDF)
994:(PDF)
987:(PDF)
947:(PDF)
940:(PDF)
507:liver
493:bowel
473:with
321:mouth
291:organ
101:[
84:43.11
2205:PELD
2200:MELD
2007:MRCP
1981:ERCP
1262:PMID
1224:PMID
1173:PMID
1122:PMID
1077:PMID
1055:2013
1030:2013
1002:2013
975:2013
955:2013
920:ISBN
879:PMID
826:PMID
781:2015
741:PMID
696:PMID
447:The
295:skin
136:oral
2012:PTC
1354:SGs
1254:doi
1214:doi
1163:PMC
1153:doi
1112:PMC
1104:doi
1067:PMC
1059:doi
816:PMC
808:doi
804:329
800:BMJ
733:doi
719:163
688:doi
311:An
142:or
117:PEG
95:sec
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2002:IV
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Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
