TY - JOUR
T1 - Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Combined with CT-GC
AU - Kato, Kazuya
AU - Iwasaki, Yoshiaki
AU - Onodera, Kazuhiko
AU - Matsuda, Minoru
AU - Higuchi, Mineko
AU - Kato, Kimitaka
AU - Kato, Yurina
AU - Taniguchi, Masahiko
AU - Furukawa, Hiroyuki
N1 - Publisher Copyright:
Copyright © 2017 Taylor & Francis Group, LLC.
PY - 2017/5/4
Y1 - 2017/5/4
N2 - Purpose: Despite the widespread use of percutaneous endoscopic gastrostomy (PEG) tubes, their placement may be associated with a variety of complications, including gastrocolic fistula. Materials and Methods: 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. Results: 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. Conclusions: LAPEG combined with CT-GC can be used for patients with difficult anatomical orientations and may minimize the risk of complications in PEG placement.
AB - Purpose: Despite the widespread use of percutaneous endoscopic gastrostomy (PEG) tubes, their placement may be associated with a variety of complications, including gastrocolic fistula. Materials and Methods: 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. Results: 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. Conclusions: LAPEG combined with CT-GC can be used for patients with difficult anatomical orientations and may minimize the risk of complications in PEG placement.
KW - CT-gastrocolonography (CT-GC)
KW - gastrocolic fistula
KW - iatrogenic colic perforation
KW - laparoscopic surgery
KW - laparoscopic-assisted PEG (LAPEG)
KW - percutaneous endoscopic gastrostomy (PEG)
UR - http://www.scopus.com/inward/record.url?scp=84990237874&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84990237874&partnerID=8YFLogxK
U2 - 10.1080/08941939.2016.1232451
DO - 10.1080/08941939.2016.1232451
M3 - Article
C2 - 27700181
AN - SCOPUS:84990237874
VL - 30
SP - 193
EP - 200
JO - Journal of Investigative Surgery
JF - Journal of Investigative Surgery
SN - 0894-1939
IS - 3
ER -