Transnasal Percutaneous Endoscopic Gastrostomy (T-PEG): An Alternative Approach to Conventional PEG Placement

Transnasal percutaneous endoscopic gastrostomy (T-PEG) is a novel endoscopic intervention for enteral nutrition. Peroral endoscopic gastrostomy is widely performed feeding procedure. However, it cannot be done in 4 to 7% of cases with head & neck malignancies. T-PEG is a safe and viable alternative procedure in those patients. T-PEG can be performed in patients with head and neck malignancies, malignant oropharyngeal obstruction, and trismus where oral endoscopy is not feasible.