The placement of a percutaneous endoscopic gastrostomy (PEG) is a multidisciplinary decision. Depending on the underlying clinical problem and patient prognosis, the wishes of the patient and his or her family often weigh heavily on decisions regarding the appropriateness of enteral tube access and the material that will be used. In our hospital, PEG placement is carried out according to protocol. A brief explanation of the placement and removal is required for the patient to understand the importance of good follow-up care in order to avoid complications. Follow-up care during the first week and afterwards, with clear instructions for the patient, family, nurses and other caregivers, is important. When a gastrostomy is to be replaced with another device, knowledge of different materials that are available can help to decide which material can be used.

Recognition of late complications that can occur, such as leakage of fluid, irritation of the skin, balloon-leakage, clogging of the tube, hypergranulation, dislocation of the tube in the first week, dislocation when the track is completely formed, migration of the balloon with obstruction of the antrum or duodenum and buried bumper syndrome is critical. Knowledge, prevention, recognition and management of these PEG-related problems, makes it possible to reduce the complication rate. Discussion about the indications and ethics concerning PEG placement and feeding possibilities that may result in a higher standard of patient care will also be highlighted.

Section Description

We are pleased to present the abstracts from SGNA's 33rd Annual Course, SGNA on a Mission: Exceeding Expectations. The diversity of these topics certainly reflects the richness and breadth of our specialty. In keeping with the tradition of the Annual Course, we hope the following abstracts will encourage discussions for improving nursing practice and patient care outcomes.