We present the first published experience of Percutaneous Endoscopic Gastrostomy (PEG) by an otorhinolaryngologist in the United Kingdom. In a series of 65 patients, we demonstrate that PEG can be safely performed by an otorhinolaryngology – head & neck surgical team; with successful insertion and complication rates (major/minor) comparable to other published PEG series from the gastroenterology and head & neck literature (94% and 6%/9% respectively).
In our series, 69.8% of patients.... of patients had PEG in addition to other related procedures, such as tumour resection. Combining PEG with other procedures under a single general anaesthetic may confer a number of benefits compared to PEG under sedation; including better airway protection, greater patient procedure acceptability and a shortened treatment pathway. There are also advantages in health economic terms as only one hospital admission is required.
We advocate formal training before performing PEG, close cooperation with local endoscopy services/gastroenterology colleagues, and participation in regular multidisciplinary audit.