American Society for Gastrointestinal Endoscopy guideline on gastrostomy feeding tubes: methodology and review of evidence
This article from the American Society for Gastrointestinal Endoscopy (ASGE) provides a full description of the methodology used to inform the final guidance outlined in the accompanying summary and recommendations article for strategies to manage endoscopically placed gastrostomy tubes. This articl...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | VideoGIE |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468448124001541 |
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| author | Divyanshoo Rai Kohli, MD Natalie Cosgrove, MD Wasif M. Abidi, MD, PhD Jorge D. Machicado, MD, MPH Madhav Desai, MD, MPH Nauzer Forbes, MD, MSc Neil B. Marya, MD Nikhil R. Thiruvengadam, MD Nirav C. Thosani, MD, MHA Omeed Alipour, MD Saowanee Ngamruengphong, MD Sherif E. Elhanafi, MD Sunil G. Sheth, MD Wenly Ruan, MD John C. Fang, MD Stephen A. McClave, MD Rodrick C. Zvavanjanja, MD, MSc, FRCR(UK), FSIR, DABR(DR/VIR) Dhruvil K. Radadiya, MBBS Amir Y. Kamel, PharmD, BCNSP Bashar J. Qumseya, MD, MPH |
| author_facet | Divyanshoo Rai Kohli, MD Natalie Cosgrove, MD Wasif M. Abidi, MD, PhD Jorge D. Machicado, MD, MPH Madhav Desai, MD, MPH Nauzer Forbes, MD, MSc Neil B. Marya, MD Nikhil R. Thiruvengadam, MD Nirav C. Thosani, MD, MHA Omeed Alipour, MD Saowanee Ngamruengphong, MD Sherif E. Elhanafi, MD Sunil G. Sheth, MD Wenly Ruan, MD John C. Fang, MD Stephen A. McClave, MD Rodrick C. Zvavanjanja, MD, MSc, FRCR(UK), FSIR, DABR(DR/VIR) Dhruvil K. Radadiya, MBBS Amir Y. Kamel, PharmD, BCNSP Bashar J. Qumseya, MD, MPH |
| author_sort | Divyanshoo Rai Kohli, MD |
| collection | DOAJ |
| description | This article from the American Society for Gastrointestinal Endoscopy (ASGE) provides a full description of the methodology used to inform the final guidance outlined in the accompanying summary and recommendations article for strategies to manage endoscopically placed gastrostomy tubes. This article was developed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework and specifically addresses the utility of PEG versus interventional radiology–guided gastrostomy (IR-G), the need for withholding antiplatelet and anticoagulant medications, appropriate timing to initiate tube feedings, and appropriate selection of the gastrostomy technique in patients with malignant dysphagia. In patients needing enteral access, the ASGE suggests PEG as the preferred technique for initial gastrostomy over IR-G. The ASGE recommends that tube feeding can be safely started within 4 hours of the gastrostomy without the need for an intentional delay. The ASGE suggests that a PEG can be performed without the need to withhold antiplatelet medications. In patients on anticoagulants who need to undergo PEG placement, the ASGE suggests that the periprocedural management of anticoagulants should be based on a multidisciplinary discussion with the patient regarding the risk of bleeding versus cardiovascular adverse events. In patients with malignant dysphagia, either transoral “Pull” PEG or transcutaneous “Direct” PEG can be performed for initial enteral access. |
| format | Article |
| id | doaj-art-470306be2a2041379dc81fafb29bc638 |
| institution | Kabale University |
| issn | 2468-4481 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | VideoGIE |
| spelling | doaj-art-470306be2a2041379dc81fafb29bc6382025-01-22T05:43:04ZengElsevierVideoGIE2468-44812025-01-01101123American Society for Gastrointestinal Endoscopy guideline on gastrostomy feeding tubes: methodology and review of evidenceDivyanshoo Rai Kohli, MD0Natalie Cosgrove, MD1Wasif M. Abidi, MD, PhD2Jorge D. Machicado, MD, MPH3Madhav Desai, MD, MPH4Nauzer Forbes, MD, MSc5Neil B. Marya, MD6Nikhil R. Thiruvengadam, MD7Nirav C. Thosani, MD, MHA8Omeed Alipour, MD9Saowanee Ngamruengphong, MD10Sherif E. Elhanafi, MD11Sunil G. Sheth, MD12Wenly Ruan, MD13John C. Fang, MD14Stephen A. McClave, MD15Rodrick C. Zvavanjanja, MD, MSc, FRCR(UK), FSIR, DABR(DR/VIR)16Dhruvil K. Radadiya, MBBS17Amir Y. Kamel, PharmD, BCNSP18Bashar J. Qumseya, MD, MPH19Pancreas and Liver Clinic, Providence Sacred Medical Center, Elson Floyd School of Medicine, Washington State University, Spokane, Washington, USACenter for Interventional Endoscopy AdventHealth, Orlando, Florida, USASection of Gastroenterology and Hepatology, Baylor College of Medicine, Houston, Texas, USADivision of Gastroenterology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USACenter for Interventional Gastroenterology at UTHealth, McGovern Medical School, Houston, Texas, USADepartment of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, CanadaDivision of Gastroenterology, UMass Chan Medical School, Worcester, Massachusetts, USADivision of Gastroenterology and Hepatology, Loma Linda University, Loma Linda, California, USACenter for Interventional Gastroenterology at UTHealth, McGovern Medical School, Houston, Texas, USADivision of Gastroenterology, University of Washington Medical Center, Seattle, Washington, USADivision of Gastroenterology and Hepatology, Johns Hopkins University, Baltimore, Maryland, USADivision of Gastroenterology, Texas Tech University Health Sciences Center, El Paso, Texas, USADivision of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USADivision of Pediatric Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine, Texas Children’s Hospital, Houston, Texas, USADivision of Gastroenterology, Hepatology and Nutrition, University of Utah, Salt Lake City, Utah, USADepartment of Medicine, University of Louisville, Louisville, Kentucky, USADepartment of Diagnostic and Interventional Radiology at UTHealth, McGovern Medical School, Houston, Texas, USADepartment of Gastroenterology, Hepatology and Motility, University of Kansas, Kansas City, Kansas USADepartment of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida, USA; Department of Pharmacy, UF Health Shands Hospital, University of Florida College of Pharmacy, Gainesville, Florida, USADepartment of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida, USAThis article from the American Society for Gastrointestinal Endoscopy (ASGE) provides a full description of the methodology used to inform the final guidance outlined in the accompanying summary and recommendations article for strategies to manage endoscopically placed gastrostomy tubes. This article was developed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework and specifically addresses the utility of PEG versus interventional radiology–guided gastrostomy (IR-G), the need for withholding antiplatelet and anticoagulant medications, appropriate timing to initiate tube feedings, and appropriate selection of the gastrostomy technique in patients with malignant dysphagia. In patients needing enteral access, the ASGE suggests PEG as the preferred technique for initial gastrostomy over IR-G. The ASGE recommends that tube feeding can be safely started within 4 hours of the gastrostomy without the need for an intentional delay. The ASGE suggests that a PEG can be performed without the need to withhold antiplatelet medications. In patients on anticoagulants who need to undergo PEG placement, the ASGE suggests that the periprocedural management of anticoagulants should be based on a multidisciplinary discussion with the patient regarding the risk of bleeding versus cardiovascular adverse events. In patients with malignant dysphagia, either transoral “Pull” PEG or transcutaneous “Direct” PEG can be performed for initial enteral access.http://www.sciencedirect.com/science/article/pii/S2468448124001541 |
| spellingShingle | Divyanshoo Rai Kohli, MD Natalie Cosgrove, MD Wasif M. Abidi, MD, PhD Jorge D. Machicado, MD, MPH Madhav Desai, MD, MPH Nauzer Forbes, MD, MSc Neil B. Marya, MD Nikhil R. Thiruvengadam, MD Nirav C. Thosani, MD, MHA Omeed Alipour, MD Saowanee Ngamruengphong, MD Sherif E. Elhanafi, MD Sunil G. Sheth, MD Wenly Ruan, MD John C. Fang, MD Stephen A. McClave, MD Rodrick C. Zvavanjanja, MD, MSc, FRCR(UK), FSIR, DABR(DR/VIR) Dhruvil K. Radadiya, MBBS Amir Y. Kamel, PharmD, BCNSP Bashar J. Qumseya, MD, MPH American Society for Gastrointestinal Endoscopy guideline on gastrostomy feeding tubes: methodology and review of evidence VideoGIE |
| title | American Society for Gastrointestinal Endoscopy guideline on gastrostomy feeding tubes: methodology and review of evidence |
| title_full | American Society for Gastrointestinal Endoscopy guideline on gastrostomy feeding tubes: methodology and review of evidence |
| title_fullStr | American Society for Gastrointestinal Endoscopy guideline on gastrostomy feeding tubes: methodology and review of evidence |
| title_full_unstemmed | American Society for Gastrointestinal Endoscopy guideline on gastrostomy feeding tubes: methodology and review of evidence |
| title_short | American Society for Gastrointestinal Endoscopy guideline on gastrostomy feeding tubes: methodology and review of evidence |
| title_sort | american society for gastrointestinal endoscopy guideline on gastrostomy feeding tubes methodology and review of evidence |
| url | http://www.sciencedirect.com/science/article/pii/S2468448124001541 |
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