A technique of cervical gastrostomy is described. Cervical gastrostomy as an alternative to the use of an indwelling nasogastric tube after cervical oesophagogastrostomy after resection for cancer has been used in six patients and appears to have certain advantages in terms of effective gastric decompression, avoiding discomfort to the patient, and simplification of postoperative nursing. It ma...

Background: Persistent gastrocutaneous fistula (GCF) following percutaneous endoscopic gastrostomy (PEG) tube removal often require surgical intervention for successful closure which increases the morbidity and mortality associated with this condition. The growing use of endoscopic clips to close fistulas has become an effective and less invasive treatment modality. We report successful closure...

We report the case of a patient with advanced squamous carcinoma of the supraglottic larynx and hypopharynx who developed metastatic gastric deposits occurring at the site of a percutaneous endoscopic gastrostomy tube, inserted 10 months previously by the pull technique. We review seven previous reports of tumour deposits occurring at the site of placement of a percutaneous endoscopic gastrosto...

1. Dormann AJ, Huchzermeyer H. Endoscopic techniques for enteral nutrition: standards and innovations [review]. Dig Dis 2002;20:145-53. 2. Dormann AJ, Glosemeyer R, Leistner U, Deppe H, Roggel R, Wigginghaus B, et al. Modified percutaneous endoscopic gastrostomy (PEG) with gastropexy: early experience with a new introducer technique. Z Gastroenterol 2000;38:933-8. 3. Kulling D, Sonnenberg A, Fr...

a new, over-the-wire technique for SLG tube placement during a single, same-day endoscopic procedure. First, we identify the existing fistula between the skin and the gastric body. We gently probe the gastrostomy tract and establish it with a guidewire under direct endoscopic vision. We grasp the guidewire with an endoscopic snare and withdraw it through the mouth in a standard manner. Second, ...

BACKGROUND Percutaneous endoscopic gastrostomy (PEG) is the most common way of placing a feeding tube. Sometimes PEG cannot be used to safely place a feeding tube, most commonly secondary to an inability to transilluminate the abdominal wall. Whereas open gastrostomy was previously necessary in such cases, laparoscopic-assisted percutaneous endoscopic gastrostomy (LAPEG) is a viable option and ...

The clinical outcomes from 14 children (7 male) with cystic fibrosis (CF) who had a gastrostomy tube inserted between January 1999 and August 2005 are presented. The mean age of gastrostomy insertion was 6.63 years. All patients had pancreatic insufficiency with mildly compromised lung function (mean FEV1 71%). Data was collected for 1 year prior and 2 years post commencement of gastrostomy fee...

Nutritional support is often an integral part of patient management. There are three principal access routes used for nutrient delivery: oral, enteral (tube feeding) and parenteral. Tube feeding is indicated for those patients who, in the presence of a functional gastrointestinal tract, cannot, should not or will not consume adequate nutrition orally. A number of different routes may be used in...

Background and Objective: Percutaneous endoscopic gastrostomy (PEG) is the technique of choice for providing enteral access to patients who require long-term enteral nutrition. This study was performed to evaluate the outcomes and complications of PEG. Materials and Methods: In this semi-experimental study, 77 patients (45 men, 32 women; age mean: 58.9±19.7 years, Min: 14 years, Max: 89 Years)...