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Surgical Endoscopy
Published in: Surgical Endoscopy 2/2017

01-02-2017 | Dynamic Manuscript

Colonoscopic-assisted percutaneous endoscopic gastrostomy tube placement

Authors: Ryan M. Juza, Joshua S. Winder, Eric M. Pauli

Published in: Surgical Endoscopy | Issue 2/2017

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Excerpt

Percutaneous endoscopic gastrostomy (PEG) tube placement has become the mainstay for durable enteral access, eliminating the need for surgical gastrostomy [1, 2]. Placement requires a safe tract through the abdominal wall directly into the stomach. Colon interposition between the stomach and abdominal wall is uncommon, but precludes PEG tube placement [3]. In cases where the colon directly interferes with PEG tube placement, we have employed multimodal therapy by performing simultaneous colonoscopy, fluoroscopy, and upper endoscopy to permit PEG technique placement. …
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Literature
1.
Ponsky JL, Gauderer MW (1981) Percutaneous endoscopic gastrostomy: a nonoperative technique for feeding gastrostomy. Gastrointest Endosc 27(1):9–11CrossRefPubMed
2.
Rahnemai-Azar AA, Rahnemaiazar AA, Naghshizadian R, Kurtz A, Farkas DT (2014) Percutaneous endoscopic gastrostomy: indications, technique, complications and management. World J Gastroenterol 20(24):7739–7751CrossRefPubMedPubMedCentral
3.
Foutch PG, Talbert GA, Waring JP, Sanowski RA (1988) Percutaneous endoscopic gastrostomy in patients with prior abdominal surgery: virtues of the safe tract. Am J Gastroenterol 83(2):147–150PubMed
4.
Roozrokh HC, Ripepi A, Stahlfeld K (2002) Gastrocolocutaneous Fistula as a complication of peg tube placement. Surg Endosc 16(3):538–539CrossRefPubMed
5.
Metadata
Title
Colonoscopic-assisted percutaneous endoscopic gastrostomy tube placement
Authors
Ryan M. Juza
Joshua S. Winder
Eric M. Pauli
Publication date
01-02-2017
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 2/2017
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-016-5000-0

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