Gauderer wrote, "Because of its simplicity and low complication rate, this minimally invasive procedure also lends itself to overutilization. Therefore, as percutaneous endoscopic gastrostomy enters its third decade, much of our effort in the future needs to be directed toward the ethical aspects associated with long-term enteral feeding.
Consideramos, como el doctor Gauderer inventor del procedimiento, que las implicaciones éticas y no técnicas, respecto a la GEP, deben estar en el centro del debate académico ya que: "Por su simplicidad y baja tasa de complicaciones, este procedimiento, mínimamente invasivo, tiende a utilizarse exageradamente".