Transhepatic PEG Tube Placement

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Intrahepatic Migration of Gastrostomy Tube after Inadvertent Transhepatic PEG Placement

A 55-year-old man with nasopharyngeal carcinoma and liver metastasis presented with sudden abdominal pain after administration of water through the percutaneous endoscopic gastrostomy (PEG). The PEGwas placed 1 year prior at another hospital by the pull technique with endoscopic confirmation and used without intercurrence (Figure 1). Hepatomegaly related to liver metastasis was already known at...

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Sonographic diagnosis of transhepatic placement of a percutaneous endoscopic gastrostomy (PEG) tube.

a percutaneous endoscopic gastrostomy (PEG) tube A 44-year-old patient with cachexia and insufficient oral intake due to hypopharyngeal carcinoma underwent percutaneous endoscopic gastrostomy (PEG) placement with the pull technique, which is a common option for the treatment of dysphagia [1]. Transillumination and finger pressure revealed a safe puncture site at the anterior gastric wall, and t...

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PEG tube placement in morbidly obese patients.

We present two patients both of whom had severe morbid obesity and needed placement of a percutaneous endoscopic gastrostomy (PEG) for albumin and visceral protein replenishment. The first patient was a 53-year-old woman (body mass index [BMI], 85.8; weight, 191kg) who presented with respiratory distress and dysphagia; the second was a 26-year-old woman (BMI, 88.6; weight, 259kg) who presented ...

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Risks of PEG tube placement in patients with cirrhosis-associated ascites

This study examined the safety of placing percutaneous endoscopic gastrostomy (PEG) tube in people with liver cirrhosis. The target population was further subdivided into people with ascites (case group) and people without ascites (control). We compare the morbidity and the mortality difference of PEG placement in cirrhotic patients with ascites vs cirrhotic patients without ascites. We then ex...

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Feasibility and Safety of Overtubes for PEG-Tube Placement in Patients with Head and Neck Cancer

Background. Percutaneous endoscopic gastrostomy (PEG) placement using the "pull" technique is commonly utilized for providing nutritional support in head and neck cancer (HNC) patients, but it may be complicated by peristomal metastasis in up to 3% of patients. Overtube-assisted PEG placement might reduce this risk. However, this technique has not been systemically studied for this purpose to d...

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ژورنال

عنوان ژورنال: Clinical Gastroenterology and Hepatology

سال: 2020

ISSN: 1542-3565

DOI: 10.1016/j.cgh.2019.04.072