“Percutaneous endoscopic gastrostomy (PEG) tube placement is a commonly performed procedure in trauma patients.Since the establishment of the acute care surgery (ACS)
model, the role of ACS in PEG tube placement in many institutions has expanded. The incidence of PEG tube complications has been under-reported in the literature and varies
widely among the patient populations studied and the definition of complications utilized. Major and minor complications may range from 3% to 26%. Our institution, under an ACS model, has previously reported an overall 25% complication rate with 10% major and 14% minor complications associated with pull PEG.”

“In this study, we compared outcomes, in particular the incidence of TD, between pull PEGs and push PEGs under the ACS era. Overall complications (major and minor), including the
incidence of TD, between the two groups appeared similar.”

“The incidence of pull PEG tube dislodgement associated with major complications is under-recognized and under-reported in the literature. Clinicians who perform pull PEG tube place-
ment must be cognizant of this uncommon, but serious, complication and must take steps to help prevent or minimize TD.”

Kulvatunyou, Narong et al. “Comparing Outcomes Between “Pull” Versus “Push” Percutaneous Endoscopic Gastrostomy in Acute Care Surgery: Under-Reported Pull Percutaneous Endoscopic Gastrostomy Incidence of Tube Dislodgement.” The Journal of surgical research vol. 232 (2018): 56-62. Full Text for Emory Users