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Long-term results with a new introducer method with gastropexy for percutaneous endoscopic gastrostomy.
Am J Gastroenterol. 2006 Jun; 101(6):1229-34.AJ

Abstract

OBJECTIVE

Percutaneous endoscopic gastrostomy (PEG) using the pull-technique is the standard method for enteral feeding in patients with swallowing disorders. A different introducer technique with endoscopically controlled gastropexy is available avoiding oropharyngeal passage with the internal bumper. The aim of the study was to assess long-term safety of this technique.

MATERIAL AND METHODS

Between January 1999 and November 2001, 684 patients received a PEG in our prospective cohort trial. In 92.5% of cases a PEG was applied using the pull-through technique. In 6.7% of the patients (40 males, 6 females, mean age 60.6 yr) primary PEG application using the pull-through technique was not possible and an endoscopical controlled introducer PEG (Cliny PEG 13 CH (=13 F), AP Nenno, Germany) with two gastropexies was placed. Data collection criteria included application success, infectious complications (within 180 days), other complications (within 180 days), and mortality (within 180 days). Procedure, catheter change, and follow-up were standardized.

RESULTS

PEG placement was successful in all patients. During initial follow-up we saw a low rate of minor problems. In one case a peristomal peritonitis was seen due to detachment of two gastropexy sutures. During long-term follow-up only one local infection requiring antibiotic treatment occurred on day 14. We observed no treatment related mortality. In most of the patients the primary catheter was changed into a secondary system as scheduled. The average observation period was 131.8 days (range: 15-180 days).

CONCLUSION

The Cliny PEG 13 CH can be placed safely in an endoscopically controlled introducer procedure with dual gastropexy. Long-term follow-up of the patients revealed only minor complications. Primary indication is given in patients in whom PEG placement using the pull-through technique is not possible.

Authors+Show Affiliations

Department of Internal Medicine, Hospital Köln-Holweide, Köln, and Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke-University Magdeburg, Germany.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16771943

Citation

Dormann, Arno J., et al. "Long-term Results With a New Introducer Method With Gastropexy for Percutaneous Endoscopic Gastrostomy." The American Journal of Gastroenterology, vol. 101, no. 6, 2006, pp. 1229-34.
Dormann AJ, Wejda B, Kahl S, et al. Long-term results with a new introducer method with gastropexy for percutaneous endoscopic gastrostomy. Am J Gastroenterol. 2006;101(6):1229-34.
Dormann, A. J., Wejda, B., Kahl, S., Huchzermeyer, H., Ebert, M. P., & Malfertheiner, P. (2006). Long-term results with a new introducer method with gastropexy for percutaneous endoscopic gastrostomy. The American Journal of Gastroenterology, 101(6), 1229-34.
Dormann AJ, et al. Long-term Results With a New Introducer Method With Gastropexy for Percutaneous Endoscopic Gastrostomy. Am J Gastroenterol. 2006;101(6):1229-34. PubMed PMID: 16771943.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term results with a new introducer method with gastropexy for percutaneous endoscopic gastrostomy. AU - Dormann,Arno J, AU - Wejda,Bernd, AU - Kahl,Stefan, AU - Huchzermeyer,Hans, AU - Ebert,Matthias P, AU - Malfertheiner,Peter, PY - 2006/6/15/pubmed PY - 2006/8/11/medline PY - 2006/6/15/entrez SP - 1229 EP - 34 JF - The American journal of gastroenterology JO - Am J Gastroenterol VL - 101 IS - 6 N2 - OBJECTIVE: Percutaneous endoscopic gastrostomy (PEG) using the pull-technique is the standard method for enteral feeding in patients with swallowing disorders. A different introducer technique with endoscopically controlled gastropexy is available avoiding oropharyngeal passage with the internal bumper. The aim of the study was to assess long-term safety of this technique. MATERIAL AND METHODS: Between January 1999 and November 2001, 684 patients received a PEG in our prospective cohort trial. In 92.5% of cases a PEG was applied using the pull-through technique. In 6.7% of the patients (40 males, 6 females, mean age 60.6 yr) primary PEG application using the pull-through technique was not possible and an endoscopical controlled introducer PEG (Cliny PEG 13 CH (=13 F), AP Nenno, Germany) with two gastropexies was placed. Data collection criteria included application success, infectious complications (within 180 days), other complications (within 180 days), and mortality (within 180 days). Procedure, catheter change, and follow-up were standardized. RESULTS: PEG placement was successful in all patients. During initial follow-up we saw a low rate of minor problems. In one case a peristomal peritonitis was seen due to detachment of two gastropexy sutures. During long-term follow-up only one local infection requiring antibiotic treatment occurred on day 14. We observed no treatment related mortality. In most of the patients the primary catheter was changed into a secondary system as scheduled. The average observation period was 131.8 days (range: 15-180 days). CONCLUSION: The Cliny PEG 13 CH can be placed safely in an endoscopically controlled introducer procedure with dual gastropexy. Long-term follow-up of the patients revealed only minor complications. Primary indication is given in patients in whom PEG placement using the pull-through technique is not possible. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/16771943/Long_term_results_with_a_new_introducer_method_with_gastropexy_for_percutaneous_endoscopic_gastrostomy_ L2 - https://Insights.ovid.com/pubmed?pmid=16771943 DB - PRIME DP - Unbound Medicine ER -