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Malposition of percutaneous endoscopic-guided gastrostomy: Guideline and management Milanchi, Siamak & Wilson, Matthew T Abstract Percutaneous endoscopic-guided gastrostomy (PEG) is done routinely on patients who suffer from inability to feed by mouth. PEG is generally considered a safe procedure with a low complication rate. A commonly underreported complication of PEG is malposition. This manuscript is a guideline to diagnosis and management of PEG malposition. We describe the different types of malposition, their diagnosis and management. Keywords Gastrocolic fistula, gastrocutaneous fistula, percutaneous endoscopic-guided gastrostomy

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