Back to Search
Start Over
Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Combined with CT-GC
- Source :
- Journal of Investigative Surgery. 30:193-200
- Publication Year :
- 2016
- Publisher :
- Informa UK Limited, 2016.
-
Abstract
- Despite the widespread use of percutaneous endoscopic gastrostomy (PEG) tubes, their placement may be associated with a variety of complications, including gastrocolic fistula.In total, seven high-risk individuals diagnosed using computed tomography (CT)-gastrocolonography (GC) underwent laparoscopic-assisted PEG (LAPEG) placement. Study endpoints included the success of LAPEG under local anesthetic and intravenous sedation, inability to thread the PEG tube, the eventual tube location, the number of tube adjustments needed, adverse events, the operating time, and PEG tube-related infection.In total, 135 PEG procedures were performed during this study. Successful CT-GC was achieved in all 135 patients, and we successfully used a standard PEG technique to place the gastrostomy tube in 128 patients (95%). In seven patients (5%), the LAPEG technique was used because the transverse colon became interposed between the abdominal wall and the anterior wall of the stomach. LAPEG procedure-related minor complications were observed in two patients.LAPEG combined with CT-GC can be used for patients with difficult anatomical orientations and may minimize the risk of complications in PEG placement.
- Subjects :
- Male
Laparoscopic surgery
medicine.medical_specialty
medicine.drug_class
medicine.medical_treatment
Anterior wall
Gastrocolic fistula
030218 nuclear medicine & medical imaging
Abdominal wall
03 medical and health sciences
0302 clinical medicine
Percutaneous endoscopic gastrostomy
Gastroscopy
Multidetector Computed Tomography
PEG ratio
medicine
Humans
Prospective Studies
Aged, 80 and over
Gastrostomy
business.industry
Local anesthetic
Transverse colon
Surgery
medicine.anatomical_structure
Female
Laparoscopy
030211 gastroenterology & hepatology
Radiology
business
Colonography, Computed Tomographic
Subjects
Details
- ISSN :
- 15210553 and 08941939
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- Journal of Investigative Surgery
- Accession number :
- edsair.doi.dedup.....b38517f604d88439bebfb796e662105f