Percutanous endoscopic castrostomy (PEG) : techniques, effectiveness and potential complications / Eric M. Pauli and Jeffrey M. Marks, editors.

Includes bibliographical references and index.

Online resource; title from PDF title page (EBSCO, viewed September 29, 2016).

Dedication; Hello, Is This The PEG Fellow?; Penn State Hershey Medical Center, Hershey, PA; References; Percutaneous Endoscopic Gastrostomy: Historical Perspective; Editor's Comment; References; Indications, Contraindications, Decision Making and Informed Consent; Introduction; Indications; Contraindications; Decision Making; Informed Consent; Conclusion; Editor's Comment; References; Palliative Considerations of Gastrostomy; Introduction; General Considerations; Considerations Prior to Placement; Populations for Which PEG May Not Be Beneficial

Patients in the Last Days to Weeks of LifePatients with Advanced Dementia; Populations for Which Insertion Should Be Considered; Proximal Obstruction -- Head and Neck Cancers; Neuromuscular Disease -- ALS; Gastric Outlet or Malignant Bowel Obstruction; Parameters for and Timing of Insertion for Decompression; Functional Outcomes of Decompressive PEG; Complications of Decompressive PEG; Decision-Making for Decompressive PEG; Technical Considerations to Decompressive PEG; Medical Management; Quality of Life Outcomes Following PEG; Supplemental Information; Editor's Comment; References

Preoperative ManagementIntroduction; Antibiotic Prophylaxis; Antithrombotic Therapy; Assessing Risk for bleeding; Assessing Risk for Thromboembolism; Antithrombotic Management; Warfarin; Heparin; Antiplatelet Therapy; Novel Oral Anticoagulants; Laboratory Testing; Imaging; Implantable Cardiac Devices; Immunosuppression; Malnutrition; Editor's Comment; References; Anesthesia for PEG Tube Placement; Introduction; Cardiac Risk Assessment; Cardiac Evaluation; Cardiac Risk Management Strategy; Non-Cardiac Testing; Sedation/Analgesia/Anesthesia; Medication Administration

Patient Monitoring during PEGSedatives and Anesthetic Medications; Benzodiazepines; Opioids; Propofol; Ketamine; Dexmedetomidine; Topical Pharyngeal Anesthesia; Choice of Anesthetic; Editor's Comment; References; Diagnostic Endoscopy During PEG; Introduction; Barrett's Esophagus; Hiatal Hernia; Esophagitis and Gastritis; Reflux Esophagitis; Eosinophilic Esophagitis; NSAID Gastritis; Stress Gastritis; Varices; Esophageal Varices; Gastric Varices; Gastric Outlet Obstruction; Polyps; Fundic Gland Polyps; Hyperplastic Polyps; Adenomatous Polyps; Gastroesophageal Reflux Disease

Peptic Ulcer DiseaseGastrointestinal Stromal Tumors; Gastroparesis; Conclusion; Editor's Comment; References; Percutaneous Endoscopic Gastrostomy: The 'Pull' Technique; Introduction; Patient Preparation and Sedation; Step-By-Step Technique for the Pull Technique; 1. Perform a Full Upper Endoscopy; 2. Identify the Site for PEG Placement; 3. Perform the "Safe Tract" Technique; 4. Gain Access to the Gastric Lumen; 5. Placement of the Guidewire; 6. Assembly of the 'Pull' PEG; 7. Insertion of the 'Pull' PEG; 8. Confirm Position of the PEG Tube; Technical Variations; Second-Look Gastroscopy

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