EUS-guided percutaneous endoscopic gastrostomy for enteral feeding tube placement - 23/08/11
Reprint requests: Atul Kumar, MD, Department of Gastroenterology and Hepatology, Stony Brook University, Stony Brook, NY 11794.São Paulo, Brazil
Abstract |
Background |
Patients without adequate abdominal-wall transillumination are at a high risk of developing complications after PEG.
Objective |
We evaluated the feasibility and utility of EUS to guide PEG in patients lacking abdominal-wall transillumination.
Design |
Single-center case series.
Setting |
Tertiary-referral center.
Patients |
Six patients who lacked adequate abdominal-wall transillumination and 2 patients with a large laparotomy scar deemed to be at high risk of developing complications after PEG.
Interventions |
Patients underwent EUS-guided PEG and deployment of a standard enteral feeding tube.
Main Outcome Measurements |
Technical success and complication rates.
Results |
PEG was successful under EUS guidance in 5 of 8 patients. Causes of failure included an inadequate EUS window because of a prior Billroth 1 gastrectomy in one and suspected bowel interposition in 2 patients. There were no complications.
Limitations |
A small number of patients, uncontrolled study, and short follow-up period.
Conclusions |
This technique may facilitate deployment of PEG in patients who lack adequate abdominal-wall transillumination.
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Vol 68 - N° 6
P. 1168-1172 - décembre 2008 Retour au numéro
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