Percutaneous sonographic gastrostomy: method, indications, and problems View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1998-06

AUTHORS

J S Bleck, B Reiss, M Gebel, S Wagner, C P Strassburg, P N Meier, B Boozari, A Schneider, M Caselitz, M Westhoff-Bleck, M Manns

ABSTRACT

OBJECTIVES: This study evaluated the application of ultrasound (US) guidance in the percutaneous placement of gastric feeding tubes in patients in whom endoscopic placement of a nutrition tube is not possible. METHODS: Thirty-eight patients with upper gastrointestinal obstruction were entered in a prospective study with US-guided nutrition tube application. Feasibility of placement, side effects, and nutritional states were monitored for a mean follow-up of 4 months. RESULTS: Ultrasound allowed rapid puncture after filling of the stomach with water through a nasal tube in 34/38 cases. In four cases a total upper gastrointestinal obstruction required an initial stomach insufflation through a direct puncture. Puncture-related major complications were not observed. Minor complications during the observation time were one late dislocation, five cases with broken material after about 6 months (four could be changed by using the Seldinger technique), and two minor local infections. The nutrition through feeding tubes stabilized body weight and body composition parameters. CONCLUSION: The percutaneous sonographic gastrostomy (PSG) is a safe and minimally invasive procedure for enteral nutrition in all cases with upper gastrointestinal obstruction when endoscopic placement of a feeding tube is not possible. Percutaneous sonographic gastrostomy may help to stabilize the nutritional parameters and general condition in patients with malignant diseases. More... »

PAGES

ajg1998181

Identifiers

URI

http://scigraph.springernature.com/pub.10.1111/j.1572-0241.1998.00283.x

DOI

http://dx.doi.org/10.1111/j.1572-0241.1998.00283.x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1015261063

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/9647024


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