Endoscopically assisted percutaneous transesophageal gastrotubing
| Autor: | Mitsuhiro Kida, Mizutomo Azuma, Masato Murakami, Keiitiro Nishino, Wasaburo Koizumi, Satoshi Tanabe, Bonpei Murakami, Yoko Takaoka, Shigeto Murakami, Kosuke Mori |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Decompression Male medicine.medical_specialty Catheters Percutaneous medicine.medical_treatment Radiography Pilot Projects Punctures Radiography Interventional Balloon Endoscopy Gastrointestinal Enteral Nutrition Esophagus Percutaneous endoscopic gastrostomy medicine Humans Intubation Fluoroscopy Intubation Gastrointestinal Aged Retrospective Studies Ultrasonography Aged 80 and over Hepatology medicine.diagnostic_test business.industry Gastroenterology Middle Aged Surgery Endoscopy Endoscopes Gastrointestinal Treatment Outcome Female Esophagostomy business |
| Zdroj: | European Journal of Gastroenterology & Hepatology. 25:989-995 |
| ISSN: | 0954-691X |
| DOI: | 10.1097/meg.0b013e3283614ae1 |
| Popis: | BACKGROUND Percutaneous transesophageal gastrotubing (PTEG) was developed as an alternative route to access the gastrointestinal tract when percutaneous endoscopic gastrostomy is contraindicated. PTEG was originally performed without endoscopy. However, endoscopy may enhance safety. MATERIALS AND METHODS A percutaneous rupture-free balloon is inserted under ultrasonographic control into an upper esophageal puncture site with a specialized needle. A guidewire is inserted through the needle into the rupture-free balloon, followed by a dilator and sheath. A placement tube is then inserted through the sheath. PTEG was performed in 85 patients (56 men and 29 women, mean age 70.5 years), 30 under fluoroscopic guidance and 55 under endoscopic guidance. These groups were subdivided into the nutrition subgroup (fluoroscopy, 20 patients; endoscopy, 23) and the decompression subgroup (fluoroscopy, 10 patients; endoscopy, 32) according to the purpose of PTEG. RESULTS Nine (30%) of the 30 patients in the fluoroscopy group required endoscopic assistance to complete the procedure. None of the patients in the endoscopy group required fluoroscopy (P |
| Databáze: | OpenAIRE |
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