Faculty Information |
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Article types | Original article |
Language | English |
Refereed paper | Refereed |
Title | Fluoroscopy-guided Percutaneous Endoscopic Gastrostomy in Children: A Simple and Safe Technique |
Journal | Formal name:Surgical laparoscopy, endoscopy&percutaneous techniques Abbreviation:Surg Laparosc Endosc Percutan Tech ISSN code:1534-4908(Electronic)1530-4515(Linking) |
Domestic / Foregin | Foregin |
Volume, Number, Page | 26(2),pp.167-70 |
Papers・Author | Zenitani Masahiro, Uehara Shuichiro, Nara Keigo, Ueno Takehisa, Soh Hideki, Usui Noriaki, Okuyama Hiroomi |
Publication date | 2016/04 |
Papers・Description | Percutaneous endoscopic gastrostomy (PEG) is a widely used minimally invasive procedure. However, PEG is difficult in neurologically impaired patients due to scoliosis with a high-riding stomach and intestinal dilatation. Fluoroscopy-guided PEG (F-PEG) is expected to avoid PEG-related complications such as intestinal injury and malpositioned tube placement. The aim of this retrospective study is to evaluate the feasibility and safety of F-PEG in children. Twenty-one handicapped pediatric patients underwent F-PEG from January 2012 to December 2014 at our hospital. Among them, 6 had scoliosis, 7 had a high-riding stomach, and 3 had gastric volvulus. F-PEG was performed in all 21 patients without any major complications. The median procedure duration was 22 minutes. In 1 patient with severe scoliosis (Cobb angle, 118 degrees) and a high-riding stomach, F-PEG was safely performed. In conclusion, F-PEG is a simple and feasible technique, and can reduce the risk of PEG-related complications in handicapped pediatric patients. |
DOI | 10.1097/SLE.0000000000000255 |
PMID | 26919311 |