What are the absolute contraindications for percutaneous endoscopic gastrostomy (PEG) tube placement?

Updated: Dec 13, 2018
  • Author: Gaurav Arora, MD, MS; Chief Editor: Danny A Sherwinter, MD  more...
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Answer

Absolute contraindications for PEG tube placement include the following:

  • Uncorrected coagulopathy or thrombocytopenia
  • Severe ascites
  • Hemodynamic instability
  • Intra-abdominal perforation
  • Active peritonitis
  • Abdominal-wall infection at the selected site of placement
  • Gastric outlet obstruction (if the PEG tube is being placed for feeding)
  • Severe gastroparesis (if the PEG tube is being placed for feeding)
  • History of total gastrectomy
  • Lack of informed consent for the procedure

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