Risks of Endoscopic Enteral Access

DeLegge, Mark H.; Berry, Amy

doi:10.1016/j.tgie.2007.08.009

Cited by 2 publications

(2 citation statements)

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“…The standard pull method (Ponsky-technique) [3] was used in all patients. All procedures were performed by two surgeons, and under general anesthesia.…”

Section: Technique Of Peg Insertionmentioning

confidence: 99%

“…Different techniques of PEG placement have been reported, but the most widely used are either the pull method (Ponsky-technique), where the catheter is pulled through the upper digestive tract and out the abdominal wall [1,3] or the push method (Sachs-Vine-technique), where a guidewire is placed into the stomach under endoscopic visualization and dilated with the Seldinger technique until the catheter is inserted through the abdomen into the stomach [3,4]. In patients, suffering from a cancer of the upper aerodigestive tract, severe dysphagia leading to impaired or impossible oral intake occurs frequently before, during or after oncological treatment.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous endoscopic gastrostomy in head and neck cancer patients: indications, techniques, complications and results

Zuercher

Grosjean

Monnier

2010

Eur Arch Otorhinolaryngol

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The aim of this study was to review our experience in percutaneous endoscopic gastrostomy (PEG) performed in patients with cancer of the upper aerodigestive tract. Descriptive retrospective study of 142 patients (115 males, 27 females), mean age 62.4 years (25-84 years), with head and neck or esophageal cancer, who underwent PEG tube insertion between January 2006 and December 2008. The studied parameters were indications, success rate, rate and type of complications, and their management. Percutaneous endoscopic gastrostomy was inserted before chemoradiation therapy in 80% and during or after cancer treatment in 20% of the patients. PEG placement was possible in 137 patients (96%). Major complications were observed in 9 (7%) and minor complications in 22 (17%) of the 137 patients. Seven of the 9 patients with a major complication needed revision surgery. The mortality directly related to the procedure was 0.7%. Percutaneous endoscopic gastrostomy tube insertion has a high success rate. In patients with upper aerodigestive tract cancer, PEG should be the first choice for enteral nutrition when sufficient oral intake is not possible. Although apparently easy, the procedure may occasionally lead to severe complications. Therefore, a strict technique and knowledge of clinical signs of possible complications are mandatory.

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“…The standard pull method (Ponsky-technique) [3] was used in all patients. All procedures were performed by two surgeons, and under general anesthesia.…”

Section: Technique Of Peg Insertionmentioning

confidence: 99%