Endoscopic ultrasound-guided percutaneous endoscopic gastrostomy
Por:
Baile-Maxia, S, Medina-Prado, L, Bozhychko, M, Mangas-Sanjuan, C, Ruiz, F, Company, L, Martinez, J, Casellas, J and Aparicio, J
Publicada:
1 sep 2020
Ahead of Print:
1 may 2020
Resumen:
Percutaneous endoscopic gastrostomy (PEG) is the method of choice for feeding and nutritional support in patients with a normal gastrointestinal function who require long-term enteral nutrition. We report our experience regarding an alternative endoscopic ultrasound (EUS)-guided PEG technique. A retrospective clinical experience case series study was conducted from January 2019 to November 2019 at a tertiary center. Adult patients deemed unfit for conventional PEG due to absence of transillumination or previous gastric surgery were enrolled. An EUS target was created by filling a glove with saline and placing it in the abdomen. EUS was performed and the target identified from the stomach. The abdominal wall was punctured from the stomach and a guidewire was advanced. The guidewire was knotted to a string, which was passed into the stomach and drawn back through the mouth. The procedure was continued following the traditional technique. Four patients underwent EUS-PEG in our center during the study period. Mean age was 65 years and 50% were male. Two patients (50%) had a body mass index over 30. PEG indications were tongue malignancies (50%), cerebrovascular disease (25%) and dementia (25%). One patient had a Roux-en-Y gastric bypass and percutaneous endoscopic jejunostomy was performed. Technical success rate was 100% and no complications occurred. This case series shows that the EUS-guided PEG technique is a safe alternative in patients deemed unfit for conventional PEG.
Filiaciones:
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Hosp Gen Univ Alicante, Endoscopy Unit, Dept Gastroenterol, Inst Invest Sanitaria & Biomed Alicante,ISABIAL, Alicante, Spain
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Hosp Gen Univ Alicante, Endoscopy Unit, Dept Gastroenterol, Inst Invest Sanitaria & Biomed Alicante,ISABIAL, Alicante, Spain
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Hosp Gen Univ Alicante, Endoscopy Unit, Dept Gastroenterol, Inst Invest Sanitaria & Biomed Alicante,ISABIAL, Alicante, Spain
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Hosp Gen Univ Alicante, Endoscopy Unit, Dept Gastroenterol, Inst Invest Sanitaria & Biomed Alicante,ISABIAL, Alicante, Spain
:
Hosp Gen Univ Alicante, Endoscopy Unit, Dept Gastroenterol, Inst Invest Sanitaria & Biomed Alicante,ISABIAL, Alicante, Spain
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Hosp Gen Univ Alicante, Endoscopy Unit, Dept Gastroenterol, Inst Invest Sanitaria & Biomed Alicante,ISABIAL, Alicante, Spain
:
Hosp Gen Univ Alicante, Endoscopy Unit, Dept Gastroenterol, Inst Invest Sanitaria & Biomed Alicante,ISABIAL, Alicante, Spain
:
Hosp Gen Univ Alicante, Endoscopy Unit, Dept Gastroenterol, Inst Invest Sanitaria & Biomed Alicante,ISABIAL, Alicante, Spain
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Hosp Gen Univ Alicante, Endoscopy Unit, Dept Gastroenterol, Inst Invest Sanitaria & Biomed Alicante,ISABIAL, Alicante, Spain
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