Talk:Percutaneous endoscopic gastrostomy

note

The term PEG seems to get missused a lot (not just on wikipedia) to refer to any G-tube. PEG properly refers to a procedure to place the tube, but not the tube itself. A G-tube placed with an open procedure may be functionaly equivilant to one placed percutaneously. Clearly refering to a tube so placed as a "PEG" is incorrect, yet one often hears this. I tried to adjust the article to reflect this distinction. I also emphasised the fact that a gastrostomy involves the stomach. Osmodiar 10:22, 12 Apr 2005 (UTC)

I haven't found any mention of a RIG (Radiologically Inserted Gastrostomy) on Wikipedia so I thought I'd just mention it here for anyone who knows more about it than me to pick up on.

Expert's corner

doi:10.1111/j.1572-0241.2007.01362.x - don't know if it's useful. JFW | T@lk 15:49, 2 December 2007 (UTC)

I have expanded some of the article, and will expand the introduction and indications sections when I have a little more time. I hope to be able to provide some images for this article (both endoscopic and external) to illustrate the technique of PEG insertion soon. Gilo1969 (talk) 00:20, 7 January 2009 (UTC)

I would like to know if I qualify as an expert. Where do I find the criteria for a self-assessment prior to my suggesting or making edits? — Preceding unsigned comment added by Albinoowl2015 (talk • contribs) 14:47, 16 February 2015 (UTC)

Dementia

Despite near-total consensus that advanced dementia is a contraindication for PEG, doi:10.1111/j.1572-0241.2007.01719.x seems to show that dementia in itself does not lead to worse outcomes, but low serum albumin, CCF or a partial gastrectomy predict worse results. JFW | T@lk 07:58, 6 January 2008 (UTC)

It should not be surprising that inserting a PEG tube into a patient with advanced dementia does not improve the severity of dementia. I do not know of any intellectually honest doctor who inserts a PEG into a patient with dementia for the purpose of improving the dementia. Doctors do not insert a PEG tube for that reason. The statement that "advanced dementia is a contraindication for the insertion of a PEG" would mislead those who do not understand "advanced dementia", "contraindication" and gastrostomy tube. Albinoowl2015 (talk) 09:30, 18 February 2015 (UTC)

Gastrostomy page

I suggest merging this with the stub page for Gastrostomy. Medicalmom (talk) 14:25, 13 December 2012 (UTC)Medicalmom

Moved from "history" section

“ Since 1985, two PEGs per patient have been employed to treat gastric volvulus. In 2006, a variation, the loop-PEG, was used in Singapore illegally by Dr Pang Ah San without prior clinical trials. Dr Pang was fined $10,000 and censured by the Singapore Medical Council (SMC) in 2012 following the death of one of the patients. Dr Pang was further suspended for six months, fined S$10,000, censured and ordered to pay the full costs of the proceedings by the High Courts in 2014 for his "complete lack of remorse”. http://www.channelnewsasia.com/news/singapore/two-surgeons-suspended/1559552.html The treatment supposedly decreased the risks of accidental tube dislodgement, and the risks during tube exchange, the loop-PEG gives a better risk-benefit ratio. ”

The above is not "history" but an entirely different indication. I think it needs to be rewritten and placed in the right section. JFW | T@lk 20:36, 31 December 2014 (UTC)

Yes, it should be rewritten to remove sensational news reports. History or not, it might be prudent to hear both sides of the story. Dr Pang has blogged about his troubles with the Singapore Medical Council (SMC) at http://pangahsan-v-smc.blogspot.sg and http://loop-gastrostomy.blogspot.sg — Preceding unsigned comment added by Albinoowl2015 (talk • contribs) 14:44, 16 February 2015 (UTC)

I am Dr Pang Ah San. I do respect the right of a person to hold an opinion in the matter between the Singapore Medical Council and me. I may disagree with the opinion held, and I would love to correct a wrong opinion, but I am mature enough to know that it would be a futile exercise unless that person is intellectually honest. The Singapore High Court of Three Judges, having considered my appeal and dismissing it, released its written grounds of decision about 6 months later. I have given my side of the story in my blogs, for example, http://drpangahsan.blogspot.sg/2014/08/points-oflaw-1-it-would-be-pure-humbug.html

For my opinion of why I was suspended, the interested person may visit http://pangahsan-v-smc.blogspot.sg/

I am not a historian, and would not be dogmatic about whether the dual-PEG and later loop-PEG qualify for inclusion into the "History" section. So I shall leave it for others to decide.

“ Since 1985, two PEGs per patient have been employed to treat gastric volvulus. In 2006, a variation, the loop-PEG, was used in Singapore by Dr Pang Ah San. The loop-PEG gives a better balance between the tube security and ease of tube change. ”

The above is factually accurate.Albinoowl2015 (talk) 10:05, 18 February 2015 (UTC)

Incorrect redirect from RIG (radiologically insterted gastrostomy) on the rig disambiguation page

There is no mention of radiologically insterted gastrostomy on this page; could someone remove the link please? (one day I'll learn how). Thank you DavidCh0 (talk) 11:18, 21 July 2016 (UTC)