Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy
Chung Hyun Tae,
Ju Yup Lee,
Moon Kyung Joo,
Chan Hyuk Park,
Eun Jeong Gong,
Cheol Min Shin,
Hyun Lim,
Hyuk Soon Choi,
Miyoung Choi,
Sang Hoon Kim,
Chul-Hyun Lim,
Jeong-Sik Byeon,
Ki-Nam Shim,
Geun Am Song,
Moon Sung Lee,
Jong-Jae Park,
Oh Young Lee,
The Korean Society of Gastrointestinal Endoscopy Task Force on Clinical Practice Guidelines
Affiliations
Chung Hyun Tae
Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea
Ju Yup Lee
Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea
Moon Kyung Joo
Division of Gastroenterology, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea
Chan Hyuk Park
Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea
Eun Jeong Gong
Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea
Cheol Min Shin
Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
Hyun Lim
Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea
Hyuk Soon Choi
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea
Miyoung Choi
National Evidence-based Healthcare Collaborating Agency, Seoul, Korea
Sang Hoon Kim
Department of Gastroenterology, Dongguk University Ilsan Hospital, Goyang, Korea
Chul-Hyun Lim
Division of Gastroenterology, Department of Internal Medicine, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Jeong-Sik Byeon
Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Ki-Nam Shim
Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea
Geun Am Song
Department of Internal Medicine, Pusan National University College of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
Moon Sung Lee
Division of Gastroenterology, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
Jong-Jae Park
Division of Gastroenterology, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea
Oh Young Lee
Department of Internal Medicine, Hanyang University School of Medicine, Seoul, Korea
The Korean Society of Gastrointestinal Endoscopy Task Force on Clinical Practice Guidelines
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.