Percutaneous Endoscopic Gastrostomy using Modified Introducer Method at Takii Hospital in Kansai Medical University: Comparison with the pull method

概要

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Percutaneous endoscopic gastrostomy (PEG) has become a common technique to provide nutritional support for neurologically or cerebral infarction patient. The procedure is simple and safety. However, PEG contains some risks for patients. The complication rate is reported between 5.7% and 33%. We reported the safety by the modified introducer method at Takii hospital. We performed PEG on 119 patients from April 2007 to December 2008, of which 24 patients performed by Pull method and 95 patients performed by modified introducer method from January 2009. We evaluated abdominal pouch in all cases by computed tomography and performed PEG for all patients safety by using push finger test and illumination sign. We have not experienced the case of injured colon or liver. In present study, the complication rate was 8.8%, the formation of granulation or abscess in soft tissue. We removed the feeding tube in 2 cases because the patients could swallow by themselves. We evaluated the safety of the modified introducer method compared to Pull method. The benefits of the modified introducer method include only one performance of gastrointestinal endoscopy and decrease in risk of colon or liver injury by fitting stomach to abdominal wall.