Gut Liver.
2024 Jan;18(1):10-26. 10.5009/gnl230146.
Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy
- Tae CH
1 - Lee JY2
- Joo MK3
- Park CH4
- Gong EJ5
- Shin CM6
- Lim H7
- Choi HS8
- Choi M9
- Kim SH10,11
- Lim CH12,13
- Byeon JS14
- Shim KN1
- Song GA15
- Lee MS16
- Park JJ3
- Lee OY17
- The Korean Society of Gastrointestinal Endoscopy Task Force on Clinical Practice Guidelines
- Affiliations
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- 1Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea
- 2Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea
- 3Division of Gastroenterology, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea
- 4Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea
- 5Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea
- 6Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
- 7Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea
- 8Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea
- 9National Evidence-based Healthcare Collaborating Agency, Seoul, Korea
- 10Department of Gastroenterology, Dongguk University Ilsan Hospital, Goyang, Korea
- 11Korean College of Helicobacter and Upper Gastrointestinal Research–Metabolism, Obesity & Nutrition Research Group
- 12Division of Gastroenterology, Department of Internal Medicine, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 13Korean Society of Gastrointestinal Endoscopy–The Research Group for Endoscopes and Devices
- 14Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 15Department of Internal Medicine, Pusan National University College of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
- 16Division of Gastroenterology, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
- 17Department of Internal Medicine, Hanyang University School of Medicine, Seoul, Korea
- KMID: 2551031
- DOI: http://doi.org/10.5009/gnl230146
Abstract
- With an aging population, the number of patients with difficulty swallowing due to medical conditions is gradually increasing. In such cases, enteral nutrition is administered through a temporary nasogastric tube. Long-term use of a nasogastric tube leads to various complications and a decreased quality of life. Percutaneous endoscopic gastrostomy (PEG) is the percutaneous placement of a tube into the stomach, aided endoscopically, which may be an alternative to a nasogastric tube when enteral nutritional is required for 4 weeks or more. This paper is the first Korean clinical guideline for PEG. It was developed jointly by the Korean College of Helicobacter and Upper Gastrointestinal Research and led by the Korean Society of Gastrointestinal Endoscopy. These guidelines aimed to provide physicians, including endoscopists, with the indications, use of prophylactic antibiotics, timing of enteric nutrition, tube placement methods, complications, replacement, and tubes removal for PEG based on the currently available clinical evidence.
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