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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

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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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