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Percutaneous endoscopic gastrostomy (PEG) has becoming the most common way of feeding patients who cannot take adequate oral nutrition in the intensive care unit (ICU). According to ESPEN guidelines after complication-free placement of a PEG system,delivery of nutrients via the tube can commence within 1 hour. But traditionally many clinicians are waiting 24 or more hours to start feeding their patients.

Are we getting late to feed the patients after opening percutaneous endoscopic gastrostomy in the intensive care unit?