Percutaneous Transesophageal Gastrostomy Tube for Decompression of Malignant Obstruction: Report of the First Case and Our Series in the US - 21/08/11
Correspondence address: Bipan Chand, MD, Department of General Surgery, Cleveland Clinic Foundation, 9500 Euclid Ave, A-80, Cleveland, OH 44195.Résumé |
Background |
Historically, surgical gastrostomies, gastrojejunostomy, and percutaneous endoscopic gastrostomy have been used palliatively. Recently, enteral stenting has also provided a means of reestablishing gastrointestinal flow in proximal and colonic obstructions.
Study design |
Seven patients with known intraabdominal malignancy leading to gastrointestinal obstruction were evaluated for PTEG. Ultrasonography, fluoroscopy, and a rupture-free balloon were used in placement. An endoscope was not used. Consent was obtained from all patients. The procedure was performed by a single surgical endoscopist in an endoscopy suite. Patients had appropriate hemodynamic monitoring with pulse oximetry, and they were given preprocedure antibiotics and sedation.
Results |
PTEG was successfully placed and alleviated symptoms in all seven patients. One complication occurred; in the fourth patient subcutaneous emphysema developed on postoperative day 1, and was managed nonoperatively. All patients were discharged from the hospital.
Conclusions |
PTEG is a safe and effective technique for decompression in malignant gastrointestinal obstruction.
Le texte complet de cet article est disponible en PDF.Abbreviations and Acronyms : PEG, PTEG, RFB
Plan
| Competing Interests Declared: None. |
Vol 201 - N° 5
P. 695-700 - novembre 2005 Retour au numéro
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