Confirmation of the PEG tube placement by ultrasonic probe obviating the need for reinsertion of the gastroscope

Mann, Nirmal S.; Prasad, Visakh; Blowers, C.

doi:10.1016/s0016-5107(98)70030-6

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…Instead, they have suggested to control the position by palpation. In response to that, Mann et al argued for a confirmation of the bumper placement by ultrasonography [6]. The authors considered this a safe procedure for confirmation of the position which at the same time avoids a second invasive gastroscopy [6].…”

Section: Discussionmentioning

confidence: 99%

“…In response to that, Mann et al argued for a confirmation of the bumper placement by ultrasonography [6]. The authors considered this a safe procedure for confirmation of the position which at the same time avoids a second invasive gastroscopy [6]. In a retrospective descriptive analysis of ultrasonographyguided PEG placement, a complication rate of 6% has been reported [9], which is considerably lower than the complication rate reported overall [3].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, endoscopic post-placement control of the tube localization is considered unnecessary and is usually not recommended as it would involve a second invasive procedure [1]. Ultrasonographic control has been previously suggested [6], but is not established as a standard procedure. Some authors have also suggested to use ultrasonography to guide PEG placement, e.g.…”

Section: Introductionmentioning

confidence: 99%

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Transabdominal ultrasonography for confirmation of accurate percutaneous endoscopic gastrostomy tube placement: analysis of patient- and procedure-related complications

et al. 2022

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Aims: Technique-related factors, patient-related factors, and localization determine the risk for complications in percutaneous endoscopic gastrostomy (PEG) tube placement. The objective of this study was to identify patient characteristics and ultrasonographic parameters after PEG tube placement concerning localization, which correlate with complications.Material and methods: Patients undergoing PEG-tube placement were examined by abdominal ultrasound after dismissal from the endoscopic recovery room. Patient demographics, PEG characteristics, ultrasonographic parameters and complications were retrospectively analyzed.Results: Of 64 enrolled patients, 59.4% were male and the mean age was 62.3 years. A significant negative correlation between complications at PEG placement and Body-Mass-Index (BMI; kg/m2) was observed (Spearman’s Rho: -0.382; p=0.002). A low BMI <18 tended to be more frequent in the group with complication-related PEG removal compared to patients without (18.2% vs. 1.9%). Further descriptive analysis revealed that 4 patients (36.4% of N=11) with and 5 patients (9.4% of N=53) without PEG removal due to complications already had complications at the time of PEG placement. Of the patients with complications during follow-up, those with a peritoneal course (N=10) in ultrasound tended to have a lower BMI (mean ± standard deviation: 22.5±6.5 vs. 26.8±5.9) compared to those without (N=5). In all 4 patients with a triad of follow-up complications, peritoneal course, and complications at PEG placement, the tube was removed due to complications.Conclusions: Post-PEG-placement ultrasonography can help to determine complications in specific procedure-related conditions. A low BMI was found to be a relevant predictor of PEG-related complications, substantiating the need for early intervention in potentially PEG-relevant indications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Transabdominal ultrasonography for confirmation of accurate percutaneous endoscopic gastrostomy tube placement: analysis of patient- and procedure-related complications

et al. 2022

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“…Complications of improperly placed G-tubes include perforation, fistula tract formation, and inadvertent administration of medications and feeds into the peritoneum, which may result in significant morbidity and mortality. Although a few reports have been published describing the use of ultrasound guidance during the initial percutaneous insertion, no data are available concerning the role of ultrasound during G-tube replacement in a previously fashioned tract (2,3). We sought to investigate whether bedside ultrasound can be utilized in the ED to guide and verify the placement of a new G-tube within a previously fashioned tract.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound Can Accurately Guide Gastrostomy Tube Replacement and Confirm Proper Tube Placement at the Bedside

Wu¹,

Leech²,

Rosenberg³

et al. 2009

The Journal of Emergency Medicine

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Peritonitis Secondary to the Migration of a Trans-Hepatically–Placed Percutaneous Endoscopic Gastrostomy Tube: A Case Report

Burke

Geller

2009

Archives of Physical Medicine and Rehabilitation

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Confirmation of the PEG tube placement by ultrasonic probe obviating the need for reinsertion of the gastroscope

Cited by 3 publications

References 6 publications

Transabdominal ultrasonography for confirmation of accurate percutaneous endoscopic gastrostomy tube placement: analysis of patient- and procedure-related complications

Transabdominal ultrasonography for confirmation of accurate percutaneous endoscopic gastrostomy tube placement: analysis of patient- and procedure-related complications

Ultrasound Can Accurately Guide Gastrostomy Tube Replacement and Confirm Proper Tube Placement at the Bedside

Peritonitis Secondary to the Migration of a Trans-Hepatically–Placed Percutaneous Endoscopic Gastrostomy Tube: A Case Report

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