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The PEG procedure is an alternative to open surgical gastrostomy insertion, and does not require a general anesthetic; mild sedation is typically used. PEG tubes may also be extended into the small intestine by passing a jejunal extension tube (PEG-J tube) through the PEG tube and into the jejunum via the pylorus. [1]
The Stamm gastrostomy is an open technique, [4] requiring an upper midline laparotomy and gastrotomy, with the catheter brought out in the left hypochondrium.It was first devised in 1894 by the American Gastric Surgeon, Martin Stamm (1847–1918), who was educated greatly in surgery when he visited Germany.
A gastric feeding tube (G-tube or "button") is a tube inserted through a small incision in the abdomen into the stomach and is used for long-term enteral nutrition. One type is the percutaneous endoscopic gastrostomy (PEG) tube which is placed endoscopically. The position of the endoscope can be visualized on the outside of the person's abdomen ...
Gastrostomy (Percutaneous endoscopic gastrostomy) · Gastroduodenostomy · Gastroenterostomy · Ileostomy · Jejunostomy · Colostomy · Cholecystostomy · Hepatoportoenterostomy · Sigmoidostomy: Uvulotomy · Myotomy (Heller myotomy · Pyloromyotomy) · Anal sphincterotomy · Lateral internal sphincterotomy
The Seldinger technique is used for angiography, insertion of chest drains and central venous catheters, insertion of PEG tubes using the push technique, insertion of the leads for an artificial pacemaker or implantable cardioverter-defibrillator, and numerous other interventional medical procedures.
Nasogastric intubation is a medical process involving the insertion of a plastic tube (nasogastric tube or NG tube) through the nose, down the esophagus, and down into the stomach. Orogastric intubation is a similar process involving the insertion of a plastic tube (orogastric tube) through the mouth. [1] Abraham Louis Levin invented the NG tube.
A percutaneous cecostomy tube (C-tube) [4] is an alternative to a MACE. It involves the surgical insertion of a catheter into the cecum for the same goal (of performing enemas). Percutaneous cecostomy procedures, like MACEs, have been performed laparoscopically. [citation needed]
Buried bumper syndrome tends to be a late complication of gastrostomy tube placement, but can rarely occur as early as 1 to 3 weeks after tube placement. [4] [5] Most cases occur more than 1 year after initial placement of the PEG tube. [2] Excessive tightening of the external bumper is the primary risk factor for buried bumper syndrome.