īeyond the above clinical and ethical dilemmas, literature has revealed flaws regarding informed consent procedure before PEG. Moreover although PEG is relative safe, it can be associated with significant early and late complications, which can be minimized with thorough knowledge of the procedure’s indications and contraindications, its steps and the early recognition of complications. It has been proposed to avoid PEG in demented patients, since it does not provide a meaningful life prolongation and to offer a 30-60 days “cooling” period with nasogastric tube feeding before PEG tube insertion in hospitalized patients, in order to prevent early death and to achieve long-term nutrition. Therefore, patients’ selection is of paramount importance in order not to provide PEG in futile cases. However, not all patients benefit from the intervention and efforts are focused on improving patients’ quality of life, rather than just prolonging it. Percutaneous endoscopic gastrostomy (PEG) tube placement is widely used to provide feeding for patients suffering from dysphagia, due to various causes of oral intake inability or those who need supplemental feeding.
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