Commentary (Lewis): Percutaneous Endoscopic Stomas for Enteral Feeding and Drainage
January 01, 1995
Endoscopically guided percutaneous gastrostomy tube placement was developed in 1980 by Jeffrey Ponsky .In the ensuing years, this procedure has evolved rapidly. The procedure began with a homemade kit consisting of urinary and intravenous catheters. Now the endoscopist has a choice of three different techniques and a host of commercially available kits from which to choose . By 1989, percutaneous endoscopic gastrostomy became the preferred method of gastrostomy (over surgery), and presently is the second most common indication for EGD (esophago-gastro-duodenoscopy) in hospitalized patients in the United States (the most common indication is upper gastrointestinal bleeding). The long-term complication rate is extremely low [3,4], and both patients and nurses alike prefer percutaneous endoscopic gastrostomy to nasogastric tubes .