経皮内視鏡的胃瘻造設術困難症例に対する経皮経食道胃管挿入術の経験

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タイトル別名
  • Percutaneous Transesophageal Gastro-tubing (PTEG) for Difficult Cases of Percutaneous Endoscopic Gastrostomy (PEG)
  • ケイヒ ナイシキョウテキ イロウゾウセツジュツ コンナン ショウレイ ニ タイスル ケイヒケイ ショクドウ イカン ソウニュウジュツ ノ ケイケン

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Percutaneous endoscopic gastrostomy (PEG) has been used generally as a safe method of enteral nutrition for patients who are unable to take oral alimentation. However, there are some patients who can not be receive PEG because of technical problems. For example, prior gastrectomy and the presence of other organs between the stomach and abdominal wall are recognized as relative contraindications for PEG.<br>We performed percutaneous transesophageal gastro-tubing (PTEG) in seven patients in whom we had been unable to place a standard PEG tube. Based on our experience, we recommend PTEG as a safe and effective alternative to open surgical gastrostomy when PEG is not possible.

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