Case Report : Colonoscopy-assisted Placement of Percutaneous Endoscopic Gastrostomy : Report of Two Cases

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  • Shigoka Hiroaki
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Ohashi Medical Center
  • Maetani Iruru
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Ohashi Medical Center
  • Yoshida Yuuki
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Ohashi Medical Center

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  • Colonoscopy-assisted Placement of Percutaneous Endoscopic Gastrostomy: Report of Two Cases

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Case Report

Occasionally, percutaneous endoscopic gastrostomy placement cannot be completed due to anatomical reasons, such as the position of other organs. The location of the transverse colon ventral to the stomach made it difficult to prevent the accidental puncture of the colon in two elderly patients with dysphasia. We adjusted the position of the colon to clear the route to the stomach for puncture and safe gastrostomy tube placement. This technique of using a colonoscope to push and bend the transverse colon inferiorly, which allowed us to successfully achieve gastrostomy placement without any adverse events, is an easy and effective method for moving interposed transverse colon segments for gastrostomy placement.

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