Systematic Reviews
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. May 27, 2023; 15(5): 940-952
Published online May 27, 2023. doi: 10.4240/wjgs.v15.i5.940
How far is the endoscopist to blame for a percutaneous endoscopic gastrostomy complication?
George Stavrou, Persefoni Gionga, George Chatziantoniou, Georgios Tzikos, Alexandra Menni, Stavros Panidis, Anne Shrewsbury, Katerina Kotzampassi
George Stavrou, Persefoni Gionga, George Chatziantoniou, Georgios Tzikos, Alexandra Menni, Stavros Panidis, Anne Shrewsbury, Katerina Kotzampassi, Department of Surgery, Aristotle University of Thessaloniki, Thessaloniki 54636, Greece
George Stavrou, Department of Surgery, Addenbrooke's Hospital, Cambridge CB22QQ, United Kingdom
Author contributions: Gionga P, Menni A and Panidis S performed the initial literature review; Stavrou G and Tzikos G drafted the manuscript; Shrewsbury A and Kotzampassi K performed a critical revision of the manuscript; Shrewsbury A performed language editing; Kotzampassi K received the final decision for inclusion and conceived the original idea; all authors have read and approved the final manuscript.
Conflict-of-interest statement: All authors declare no conflict of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Katerina Kotzampassi, MD, PhD, Senior Scientist, Surgeon, Department of Surgery, Aristotle University of Thessaloniki, University Campus, Thessaloniki 54636, Greece. kakothe@yahoo.com
Received: December 21, 2022
Peer-review started: December 21, 2022
First decision: January 17, 2023
Revised: January 28, 2023
Accepted: April 7, 2023
Article in press: April 7, 2023
Published online: May 27, 2023
Core Tip

Core Tip: For a safe percutaneous endoscopic gastrostomy insertion, the physician should avoid overfilling the stomach and small bowel with air, check thoroughly for the proper trans-illumination of the light source of the endoscope through the abdominal wall, ensure endoscopically visible imprint of finger palpation on the skin at the center of the site of maximum illumination, and be more alert with obese patients and those with previous abdominal surgery.