Abstract
Percutaneous Endoscopic Gastrostomy (PEG) is one of the useful tools to perform enteral nutrition, and is now becoming a more popular procedure because of its ease of use and safety compared to other operative enteral nutrition techniques. However, complications associated with PEG is not so mild and problems during PEG can sometimes be fatal, because the patients needing PEG are tend to be elderly and many of them are suffering from several severe diseases. Therefore the establishment of appropriate troubleshooting techniques is eagerly anticipated. On the other hand, development of new devices improves the convenience and safety in PEG procedures, and so endoscopists who perform PEG must completely understand complications and accidental events in PEG and manage each patient with some special problems in the best possible way with the appropriate device in order to minimize PEG-associated troubles. It is quite natural that endoscopists should accept responsibility for all problems during PEG. In this review, we describe a concrete treatment technique and prevention strategies for major intraoperative PEG-associated problems.
