Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Combined with CT-GC
Purpose: Despite the widespread use of percutaneous endoscopic gastrostomy (PEG) tubes, their placement may be associated with a variety of complications, including gastrocolic fistula. Materials and Methods: In total, seven high-risk individuals diagnosed using computed tomography (CT)-gastrocolono...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2017-05-01
|
| Series: | Journal of Investigative Surgery |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/08941939.2016.1232451 |
| _version_ | 1797684575577571328 |
|---|---|
| author | Kazuya Kato Yoshiaki Iwasaki Kazuhiko Onodera Minoru Matsuda Mineko Higuchi Kimitaka Kato Yurina Kato Masahiko Taniguchi Hiroyuki Furukawa |
| author_facet | Kazuya Kato Yoshiaki Iwasaki Kazuhiko Onodera Minoru Matsuda Mineko Higuchi Kimitaka Kato Yurina Kato Masahiko Taniguchi Hiroyuki Furukawa |
| author_sort | Kazuya Kato |
| collection | DOAJ |
| description | Purpose: Despite the widespread use of percutaneous endoscopic gastrostomy (PEG) tubes, their placement may be associated with a variety of complications, including gastrocolic fistula. Materials and Methods: In total, seven high-risk individuals diagnosed using computed tomography (CT)-gastrocolonography (GC) underwent laparoscopic-assisted PEG (LAPEG) placement. Study endpoints included the success of LAPEG under local anesthetic and intravenous sedation, inability to thread the PEG tube, the eventual tube location, the number of tube adjustments needed, adverse events, the operating time, and PEG tube-related infection. Results: In total, 135 PEG procedures were performed during this study. Successful CT-GC was achieved in all 135 patients, and we successfully used a standard PEG technique to place the gastrostomy tube in 128 patients (95%). In seven patients (5%), the LAPEG technique was used because the transverse colon became interposed between the abdominal wall and the anterior wall of the stomach. LAPEG procedure-related minor complications were observed in two patients. Conclusions: LAPEG combined with CT-GC can be used for patients with difficult anatomical orientations and may minimize the risk of complications in PEG placement. |
| first_indexed | 2024-03-12T00:32:40Z |
| format | Article |
| id | doaj.art-e7724341260f4241a50056cf72d9e2b8 |
| institution | Directory Open Access Journal |
| issn | 0894-1939 1521-0553 |
| language | English |
| last_indexed | 2024-03-12T00:32:40Z |
| publishDate | 2017-05-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Investigative Surgery |
| spelling | doaj.art-e7724341260f4241a50056cf72d9e2b82023-09-15T10:12:26ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532017-05-0130319320010.1080/08941939.2016.12324511232451Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Combined with CT-GCKazuya Kato0Yoshiaki Iwasaki1Kazuhiko Onodera2Minoru Matsuda3Mineko Higuchi4Kimitaka Kato5Yurina Kato6Masahiko Taniguchi7Hiroyuki Furukawa8Pippu ClinicOkayama UniversityHokuyu HospitalNihon UniversityPippu ClinicPippu ClinicJikei UniversityAsahikawa Medical UniversityAsahikawa Medical UniversityPurpose: Despite the widespread use of percutaneous endoscopic gastrostomy (PEG) tubes, their placement may be associated with a variety of complications, including gastrocolic fistula. Materials and Methods: In total, seven high-risk individuals diagnosed using computed tomography (CT)-gastrocolonography (GC) underwent laparoscopic-assisted PEG (LAPEG) placement. Study endpoints included the success of LAPEG under local anesthetic and intravenous sedation, inability to thread the PEG tube, the eventual tube location, the number of tube adjustments needed, adverse events, the operating time, and PEG tube-related infection. Results: In total, 135 PEG procedures were performed during this study. Successful CT-GC was achieved in all 135 patients, and we successfully used a standard PEG technique to place the gastrostomy tube in 128 patients (95%). In seven patients (5%), the LAPEG technique was used because the transverse colon became interposed between the abdominal wall and the anterior wall of the stomach. LAPEG procedure-related minor complications were observed in two patients. Conclusions: LAPEG combined with CT-GC can be used for patients with difficult anatomical orientations and may minimize the risk of complications in PEG placement.http://dx.doi.org/10.1080/08941939.2016.1232451percutaneous endoscopic gastrostomy (peg)laparoscopic surgerylaparoscopic-assisted peg (lapeg)iatrogenic colic perforationgastrocolic fistulact-gastrocolonography (ct-gc) |
| spellingShingle | Kazuya Kato Yoshiaki Iwasaki Kazuhiko Onodera Minoru Matsuda Mineko Higuchi Kimitaka Kato Yurina Kato Masahiko Taniguchi Hiroyuki Furukawa Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Combined with CT-GC Journal of Investigative Surgery percutaneous endoscopic gastrostomy (peg) laparoscopic surgery laparoscopic-assisted peg (lapeg) iatrogenic colic perforation gastrocolic fistula ct-gastrocolonography (ct-gc) |
| title | Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Combined with CT-GC |
| title_full | Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Combined with CT-GC |
| title_fullStr | Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Combined with CT-GC |
| title_full_unstemmed | Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Combined with CT-GC |
| title_short | Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Combined with CT-GC |
| title_sort | laparoscopic assisted percutaneous endoscopic gastrostomy combined with ct gc |
| topic | percutaneous endoscopic gastrostomy (peg) laparoscopic surgery laparoscopic-assisted peg (lapeg) iatrogenic colic perforation gastrocolic fistula ct-gastrocolonography (ct-gc) |
| url | http://dx.doi.org/10.1080/08941939.2016.1232451 |
| work_keys_str_mv | AT kazuyakato laparoscopicassistedpercutaneousendoscopicgastrostomycombinedwithctgc AT yoshiakiiwasaki laparoscopicassistedpercutaneousendoscopicgastrostomycombinedwithctgc AT kazuhikoonodera laparoscopicassistedpercutaneousendoscopicgastrostomycombinedwithctgc AT minorumatsuda laparoscopicassistedpercutaneousendoscopicgastrostomycombinedwithctgc AT minekohiguchi laparoscopicassistedpercutaneousendoscopicgastrostomycombinedwithctgc AT kimitakakato laparoscopicassistedpercutaneousendoscopicgastrostomycombinedwithctgc AT yurinakato laparoscopicassistedpercutaneousendoscopicgastrostomycombinedwithctgc AT masahikotaniguchi laparoscopicassistedpercutaneousendoscopicgastrostomycombinedwithctgc AT hiroyukifurukawa laparoscopicassistedpercutaneousendoscopicgastrostomycombinedwithctgc |