As with other types of feeding tubes, care must be made to place<unk> s into an appropriate population. The following are contraindications to<unk>  use: Absolute contraindications * Inability to perform an esophagogastroduodenoscopy * Uncorrected coagulopathy * Peritonitis * Untreatable (loculated) massive ascites * Bowel obstruction (unless the<unk>  is sited to provide drainage) Relative contraindications * Massive ascites * Gastric mucosal abnormalities: large gastric varices, portal hypertensive gastropathy * Previous abdominal surgery, including previous partial gastrectomy: increased risk of organs interposed between gastric wall and abdominal wall * Morbid obesity: difficulties in locating stomach position by digital indentation of stomach and transillumination * Gastric wall neoplasm * Abdominal wall infection: increased risk of infection of<unk>  site * Intra-abdominal malignancy with peritoneal involvement (tumor seeding into formed channel with subsequent failure) In advanced dementia The American Medical Directors Association, the American Geriatrics Society and the American Academy of Hospice and Palliative Medicine recommend against inserting<unk>  feeding tubes in individuals with advanced dementia and, instead, recommend oral assisted feedings. Artificial nutrition neither prolongs life nor improves its quality in patients with advanced dementia. It may increase the risk of the patient inhaling food, it does not reduce suffering, it may cause fluid overload, diarrhea, abdominal pain and local complications, and can reduce the amount of human interaction the patient experiences.
Percutaneous endoscopic gastrostomy
Gastroduodenostomy
Gastric balloon
Pyloromyotomy
Pyloroplasty
Esophageal stent
Endoscopic foreign body retrieval
Replogle tube