Percutaneous endoscopic gastrostomy insertion in patients with neuromuscular disease-a single centre experience of a novel technique - Report - MDSpire

Percutaneous endoscopic gastrostomy insertion in patients with neuromuscular disease-a single centre experience of a novel technique

  • By

  • Anissa Faher

  • Melanie Gunn

  • Timothy L. Williams

  • Christian Dipper

  • Lindsay McGowan

  • Catherine Rimmer

  • Ben Messer

  • June 29, 2026

  • 0 min

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Clinical Report: Experience with a Novel Technique for PEG Placement

Overview

This study evaluates the use of an endoscopy elbow (EE) device for performing percutaneous endoscopic gastrostomy (PEG) in patients with neuromuscular diseases (NMD) who require non-invasive ventilation (NIV).

Background

Patients with neuromuscular diseases often experience bulbar dysfunction, leading to nutritional challenges and the need for interventions such as PEG. Traditional PEG procedures pose risks, particularly in patients on NIV, due to potential respiratory complications.

Data Highlights

OutcomeBefore EEAfter EE
Respiratory ComplicationsHigherLower
Critical Care AdmissionsHigherLower
Six-Month Survival (MND patients)LowerHigher

Key Findings

  • The EE device allows PEG placement under sedation while maintaining NIV.
  • There was a reduction in respiratory complications post-PEG with the use of the EE.
  • Critical care admissions decreased for NMD patients following the introduction of the EE.
  • Six-month survival rates improved in patients with motor neurone disease after using the EE technique.
  • No significant changes were observed in the time from referral to procedure or length of hospital stay.

Clinical Implications

Clinicians should consider the EE device during PEG procedures in NIV-dependent patients.

Conclusion

The introduction of the EE device represents a change in the performance of PEG in patients with NMD on NIV.

Related Resources & Content

  1. The New Gastroenterologist, 2025 -- Illuminating the Path: The Evolution of Percutaneous Endoscopic Gastrostomy
  2. Obesity Surgery, 2022 -- Methods for Percutaneous Transesophageal Gastrostomy in Addressing Gastric Leaks or Dysphagia Following Sleeve Gastrectomy
  3. Surgical Endoscopy (Springer), 2026 -- Assessment of Bipolar and Monopolar Energy Systems in G-POEM for Gastroparesis: A Study of Technical Efficacy, Learning Curves, and Clinical Results
  4. ASGE | American Society for Gastrointestinal Endoscopy guideline on gastrostomy feeding tubes: summary and recommendations
  5. Gastrostomy in patients with amyotrophic lateral sclerosis (ProGas): a prospective cohort study - PubMed
  6. Journal of Gastrointestinal Surgery — Enhanced Gastric Emptying Following Pancreaticoduodenectomy Through Proximal Roux-en-Y Gastrojejunal Anastomosis and Pyloric Ring Resection
  7. ASGE | American Society for Gastrointestinal Endoscopy guideline on gastrostomy feeding tubes: summary and recommendations
  8. Gastrostomy in patients with amyotrophic lateral sclerosis (ProGas): a prospective cohort study - PubMed

Original Source(s)

Percutaneous endoscopic gastrostomy insertion in patients with neuromuscular disease-a single centre experience of a novel technique

  • by Anissa Faher, Melanie Gunn, Timothy L. Williams, Christian Dipper, Lindsay McGowan, Catherine Rimmer, Ben Messer

  • June 29, 2026

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