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Endoscopically guided percutaneous gastrostomy



Endoscopically guided percutaneous gastrostomy



Ugeskrift for Laeger 149(37): 2459-2461



In patients incapable of normal food intake but with an intact gastrointestinal tract, advantage is taken of the digestive capacity and feeding may be performed via a percutaneously inserted gastrostomy tube. Guided by the light from the endoscope in the inflated stomach a needle is inserted from outside into the gastric lumen. With a Seldinger technique a thin gauge catheter is introduced into the stomach. The catheter is retained by a coil in the gastric lumen and a retaining disc outside. Feeding with common solutions may be employed immediately. The first ten patients have not displayed any complications. Nine of these had feeding tubes and one a decompression tube. The procedure is simple and is recommended for patients who would otherwise receive a transnasal tube of more prolonged duration.

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Accession: 005359746

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PMID: 3450062



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