title: Adverse events associated with percutaneous enteral access.
abstract: Placement of percutaneous endoscopic gastrostomy or jejunostomy is a safe procedure with low periprocedural mortality, but overall mortality rates are high because of underlying disease conditions. These procedures are also associated with postprocedure complications. The clinically significant adverse events related to the procedures include infection (at tube site and peritonitis), bleeding, and aspiration. More rare associated events include buried bumpers, injury to adjacent viscera with subsequent fistula formation, and tumor seeding. There is a lack of guidelines about these procedures other than those concerning the use of antibiotics and the management of antithrombotics and anticoagulation before the procedure.
authors.affiliation: Division of Gastroenterology, Center for Endoscopic Research and Therapeutics (CERT), University of Chicago Medical Center, 5700 Sought Maryland Ave, Chicago, IL 60637-1470, USA.
authors.forename: Ajaypal
authors.initials: A
authors.lastname: Singh
authors.affiliation: Division of Gastroenterology, Center for Endoscopic Research and Therapeutics (CERT), University of Chicago Medical Center, 5700 Sought Maryland Ave, Chicago, IL 60637-1470, USA. Electronic address: agelrud@bsd.uchicago.edu.
authors.forename: Andres
authors.initials: A
authors.lastname: Gelrud
mesh_terms: D016145:Endoscopy, Digestive System / Q000009:adverse effects; D004750:Enteral Nutrition / Q000379:methods; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D007582:Jejunostomy / Q000009:adverse effects*
keywords: Adverse events; Direct percutaneous endoscopic jejunostomy; Endoscopic enteral access; Percutaneous endoscopic gastrostomy