This conservative approach includes the removal of the gastrostomy tube, nasogastric tube decompression, intravenous administration of broad-spectrum antibiotics, and close monitoring of hemodynamic and abdominal signs. Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients. In case this situation occurs in an endoscopy room, gastroscopy may show an absence of PEG tube in the stomach which confirms the malposition of gastrostomy tube. With an advent of endoscopic procedure, percutaneous endoscopic gastrostomy PEG has become more preferential than open gastrostomy thanks to its less invasiveness and better cost-effectiveness[ 6 - 11 ]. Usefulness of a novel observation method using a small-diameter rigid telescope through the gastrostomy catheter at exchange. Percutaneous endoscopic gastrostomy in children.
Percutaneous endoscopic gastrostomy tube replacement: A simple procedure?
Balloon-type versus non-balloon-type replacement percutaneous endoscopic gastrostomy: which is better?
Enteral nutrition access devices. J Gastrointestin Liver Dis. Percutaneous endoscopic, radiological and surgical gastrostomy tubes: a comparison study in head and neck cancer patients.