Stomas Via Percutaneous Endoscopy

  • Michelle D. Inkster
  • John J. VargoII


In humans, parenteral nutrition leads to a decrease in mucosal thickness, a decrease in villus height, and a decrease in mucosal proliferation rate. If it is possible to provide nutrition enterally this is the method of choice. The introduction of enteral feeding tubes that can be placed endoscopically has revolutionized human nutrition in many clinical scenarios. Patients who are unable to take in their daily nutritional needs by mouth – whether because of trauma, burns, or surgical resection of the small bowel – can now receive their daily nutrition in a formula made for their individual requirements. This can be done for shorter or longer periods of time without some of the complications such as line sepsis seen in patients who must utilize central lines for nutrition. Tubes can be placed endoscopically into the stomach, the jejunum, the esophagus, and the cecum or appendix. This chapter discusses the development, as well as the uses, of these different types of feeding tubes.


Percutaneous Endoscopic Gastrostomy Enteral Feeding Tube Placement Gastrostomy Tube Percutaneous Endoscopic Gastrostomy Tube 
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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Digestive Disease InstituteCleveland Clinic FoundationClevelandUSA
  2. 2.Department of Gastroenterology and Hepatology, Digestive Disease InstituteCleveland Clinic FoundationClevelandUSA

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