Ultrasound-guided percutaneous 'push-introducer' gastrostomy is a valuable method for accessing the gastrointestinal tract.
Τίτλος | Ultrasound-guided percutaneous 'push-introducer' gastrostomy is a valuable method for accessing the gastrointestinal tract. |
Publication Type | Journal Article |
Year of Publication | 2014 |
Authors | Klek, S., Hermanowicz A., Salowka J., Cegielny T., Matysiak K., Chourdakis M., & Szybinski P. |
Journal | Nutr Hosp |
Volume | 29 |
Issue | 2 |
Pagination | 365-9 |
Date Published | 2014 |
ISSN | 1699-5198 |
Λέξεις κλειδιά | Aged, Enteral Nutrition, Female, Gastrostomy, Humans, Male, Middle Aged, Retrospective Studies, Surgery, Computer-Assisted, Ultrasonography, Interventional |
Abstract | Percutaneous endoscopic gastrostomy (PEG) is the most effective and least invasive method for enteral nutrition (EN). The most common system for PEG is the 'pull' technique, which . It is not available in case endoscopy cannot be performed. The 'push' technique may be an option if effective identification of the abdominal structures can be achieved. X-ray or ultrasonography can be used for that purpose. The aim was to assess the clinical value of ultrasound-guided 'push' gastrostomy. A retrospective analysis of eleven patients (6 F, 5 M, mean age 65.1) including the procedure itself, complication rate, and cost was conducted. In all eleven patients the surgery was successful, and EN was introduced 4-6 hours afterwards. Complications included pain requiring removal of a supporting stitch (n = 1) and balloon deflation (n = 1). All patients were successfully fed enterally. Ultrasound-guided 'push' technique gastrostomy should become a method of choice if the 'pull' method is unavailable. |
DOI | 10.3305/nh.2014.29.2.7127 |
Alternate Journal | Nutr Hosp |
PubMed ID | 24528354 |