Usefulness of Introducer technique for percutaneous endoscopic gastrostomy in patients with upper digestive tract stenosis

doi:10.19438/j.cjoms.2020.01.012

Abstract

Abstract: PURPOSE: To describe our experiences with Introducer technique for percutaneous endoscopic gastrostomy in patients with upper digestive tract stenosis. METHODS: A retrospective analysis was conducted in 61 patients with Introduce-PEG from January 2016 to December 2018. The gastric lumen was dilated by injection of room air through transnasal ultrathin gastroscopy, nasogastric tube, or fine needle, and introduce gastrostomy procedures were divided into two kinds according the procedure guided by transnasal ultrathin gastroscopy or CT. RESULTS: Among 61 patients, 60 finished surgery successfully, 1 patient failed. Fifty-two patients were dilated by transnasal ultrathin gastroscopy and 4 patients by nasogastric tube successfully. Among 5 patients dilated by fine needle, one patient failed for the reason of dilating the gastric wall. No complications were observed by transnasal ultrathin gastroscopy guided PEG. One patient had postoperative bleeding during CT guided gastrostomy. CONCLUSIONS: Introduce-PEG is an effective technique to establish nutritional channel for patients with upper digestive tract stenosis. Transnasal ultrathin gastroscopy can monitor the procedure real time, and will be more safety than CT guided PEG.

Key words: Introduce-percutaneous endoscopic gastrostomy, Upper digestive tract stenosis, Transnasal ultrathin gastroscopy, CT

CLC Number:

R782.05

WU Jia-jun, WANG Fan-lin, GE Wei-wen, FAN Jing-xian, ZENG Li-ting, WANG Qi, XIE Ting, ZHANG Lin, XU Bing, GE Kui. Usefulness of Introducer technique for percutaneous endoscopic gastrostomy in patients with upper digestive tract stenosis[J]. China Journal of Oral and Maxillofacial Surgery, 2020, 18(1): 60-63.

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