Since the technique was developed in the 1980s, percuta- neous endoscopic gastrostomy (PEG) has become the methodofchoiceforlong-termenteralnutritionintheUnited States. 1,2 Over 200,000 PEG placements occur yearly in the United States alone. 3 Although PEG placement is generally safe, adverse events may arise in the periprocedural time frame. 1 Delayed adverse events may also occur in association with PEG use and wound care after the tract has matured. 1,2 Some adverse events associated with PEG use include peristomal pain, infection, peristomal bleeding, and GI bleeding or ulceration. 1,2 When a PEG with jejunal extension is used, tube migration or dislodgement occurs in more than 10% of cases.
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