Techniques

Since the first description of PEG placement, many commercial kits have been introduced. A few variations of the technique have evolved which include the Ponsky "Pull," the Sachs-Vine "Push," the Russel "Introducer," and primary button methods. Generally, the patient is kept NPO for 6 to 8 hours before the procedure. A single prophylactic dose of an antibiotic (usually a cephalosporin) is used 30 minutes before the procedure. However, selection, duration and timing of antibiotics are controversial. Most studies have shown a benefit with a single dose in reducing risk of infection. One study suggested that if patients are already on broad spectrum antibiotics, they do not need additional antibiotic coverage to provide prophylaxis (Gossner et al, 1999). Before PEG placement, a thorough diagnostic esophagogastroduodenoscopy should be performed because significant pathology may be found in some patients, which may alter the decision for PEG placement.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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