Usefulness of transgastrostomic endoscopy (TGE) in patient with post percutaneous endoscopic gastrostomy (PEG)

Shinji Nishiwaki, Hiroshi Araki, Yukari Niwa, Masaya Kubota, Youhei Shirakami, Naoe Gotoh, Masahide Iwashita, Nobuhito Onogi, Takao Hayashi, Teruo Maeda, Koushirou Saitoh

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

[Purpose] The aim of this study was to evaluate the observation and treatment by transgastrostomic endoscopy (TGE) using a small-caliber endoscope. [Methods] TGE was performed with a small-caliber endoscope GIF-XP240 (Olympus, Tokyo) to observe upper gastrointestinal tract. Endoscopic mucosal resecrion (EMR) against early gastric cancer was performed with GIF-Q240 (Olympus, Tokyo) supported by TGE using the technique of endoscopic submucosal dissection. J-Tube™ (Boston Scientific, Natick, MA) was also inserted up to upper jejunum through PEG using TGE. [Results] TGE was inserted up to upper jejunum in 47 out of 51 cases. 14 novel lesions following PEG were observed in 46 cases, including reflux esophagitis in 5 cases. We were able to perform easily and safely endoscopic submucosal dissection in 2 cases of early gastric cancer, and insertion of jejunal tube through gastrostomy in 4 cases of aspiration pneumonia. [Conclusion] TGE was useful for the observation and treatment after PEG.

Original languageEnglish
Pages (from-to)49-55
Number of pages7
JournalGASTROENTEROLOGICAL ENDOSCOPY
Volume47
Issue number1
Publication statusPublished - 01-2005
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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