Editing PEG insertion (section)

== '''Contraindications''' ==

* Caution with upper abdominal surgery - traditionally, upper midline laparotomy is a contraindication, requires open gastrostomy
* Severe malnutrition
* Life expectancy <30 days
* Treat oral candidiasis prior to insertion
* Specific conditions
** Advanced dementia - does not improve longevity or QoL - prefer risk feeding
** Prognosis <3 months (apart from venting)
** Anorexia nervosa - does not address psychiatric illness
** Sepsis - risk of exacerbating - NGT feeds until sepsis resolves
** Varices/Portal HTN - risk of bleeding - prefer surgical gastrostomy
** Upper GIT malignancy requiring surgery - prefer jejunostomy
** Peritoneal carcinomatosis
** Ascites/PD - high risk for poor tract formation and peritonitis