A new form of access for endo-organ surgery

The initial experience with percutaneous endoscopic gastrostomy

T. Tomonaga, S. G. Houghton, Charles Filipi, R. A. Hinder, J. Hunter, B. Dallemagne, N. Katkhouda, R. Kozarek, T. R. DeMeester, R. Deeik, Y. Shiino, Z. T. Awad, R. E. Marsh

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Intraluminal gastric surgery provides a new treatment option for various disease processes. This study assesses the safety of a new large- diameter percutaneous endoscopic gastrostomy (PEG) for intraluminal surgery. Methods: Investigators at six institutions were asked to complete a standard questionnaire to assess the difficulties associated with the assembly and introduction of the PEG, plus intraoperative and postoperative problems related to placement of the device. Results: In terms of assembly; 1.9% of respondents reported difficulty obtaining complete vacuum of the balloon tip, and 3.8% had difficulty fitting the graduated dilator to the balloon-tipped cannula. Difficulties associated with introduction of the PEG included disengagement of the dilator from the balloon-tipped cannula (0%), extraction of the dilator-port assembly (0%), difficult PEG pullout (1.9%), abdominal wall bleeding (0%), and difficult PEG dilator separation (7.5%). Intraoperatively, 7.5% of respondents reported inadequate skin bolster fitting, 1.9% had CO2 leakage into the peritoneal cavity, 0% had inadvertent PEG extraction, and 0% reported injury to the esophagus, colon, or small intestine. Postoperatively, there was a 9.4% rate of wound infection, a 1.9% rate of gastrocutaneous fistula, and a 1.9% rate of esophageal, colon, or small intestine injury. Conclusions: The large-diameter PEG is safe and effective for endo-organ surgery. Additional preventive measures for PEG site infection should be investigated.

Original languageEnglish
Pages (from-to)738-741
Number of pages4
JournalSurgical Endoscopy
Volume13
Issue number8
DOIs
StatePublished - Aug 1999

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Gastrostomy
Small Intestine
Colon
Peritoneal Cavity
Wounds and Injuries
Abdominal Wall
Wound Infection
Vacuum
Esophagus
Fistula
Stomach
Research Personnel
Hemorrhage
Safety
Equipment and Supplies
Skin
Infection

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Tomonaga, T., Houghton, S. G., Filipi, C., Hinder, R. A., Hunter, J., Dallemagne, B., ... Marsh, R. E. (1999). A new form of access for endo-organ surgery: The initial experience with percutaneous endoscopic gastrostomy. Surgical Endoscopy, 13(8), 738-741. https://doi.org/10.1007/s004649901089

A new form of access for endo-organ surgery : The initial experience with percutaneous endoscopic gastrostomy. / Tomonaga, T.; Houghton, S. G.; Filipi, Charles; Hinder, R. A.; Hunter, J.; Dallemagne, B.; Katkhouda, N.; Kozarek, R.; DeMeester, T. R.; Deeik, R.; Shiino, Y.; Awad, Z. T.; Marsh, R. E.

In: Surgical Endoscopy, Vol. 13, No. 8, 08.1999, p. 738-741.

Research output: Contribution to journalArticle

Tomonaga, T, Houghton, SG, Filipi, C, Hinder, RA, Hunter, J, Dallemagne, B, Katkhouda, N, Kozarek, R, DeMeester, TR, Deeik, R, Shiino, Y, Awad, ZT & Marsh, RE 1999, 'A new form of access for endo-organ surgery: The initial experience with percutaneous endoscopic gastrostomy', Surgical Endoscopy, vol. 13, no. 8, pp. 738-741. https://doi.org/10.1007/s004649901089
Tomonaga, T. ; Houghton, S. G. ; Filipi, Charles ; Hinder, R. A. ; Hunter, J. ; Dallemagne, B. ; Katkhouda, N. ; Kozarek, R. ; DeMeester, T. R. ; Deeik, R. ; Shiino, Y. ; Awad, Z. T. ; Marsh, R. E. / A new form of access for endo-organ surgery : The initial experience with percutaneous endoscopic gastrostomy. In: Surgical Endoscopy. 1999 ; Vol. 13, No. 8. pp. 738-741.
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AU - Filipi, Charles

AU - Hinder, R. A.

AU - Hunter, J.

AU - Dallemagne, B.

AU - Katkhouda, N.

AU - Kozarek, R.

AU - DeMeester, T. R.

AU - Deeik, R.

AU - Shiino, Y.

AU - Awad, Z. T.

AU - Marsh, R. E.

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