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- W2029896553 abstract "Background Patients without adequate abdominal-wall transillumination are at a high risk of developing complications after PEG. Objective We evaluated the feasibility and utility of EUS to guide PEG in patients lacking abdominal-wall transillumination. Design Single-center case series. Setting Tertiary-referral center. Patients Six patients who lacked adequate abdominal-wall transillumination and 2 patients with a large laparotomy scar deemed to be at high risk of developing complications after PEG. Interventions Patients underwent EUS-guided PEG and deployment of a standard enteral feeding tube. Main Outcome Measurements Technical success and complication rates. Results PEG was successful under EUS guidance in 5 of 8 patients. Causes of failure included an inadequate EUS window because of a prior Billroth 1 gastrectomy in one and suspected bowel interposition in 2 patients. There were no complications. Limitations A small number of patients, uncontrolled study, and short follow-up period. Conclusions This technique may facilitate deployment of PEG in patients who lack adequate abdominal-wall transillumination. Patients without adequate abdominal-wall transillumination are at a high risk of developing complications after PEG. We evaluated the feasibility and utility of EUS to guide PEG in patients lacking abdominal-wall transillumination. Single-center case series. Tertiary-referral center. Six patients who lacked adequate abdominal-wall transillumination and 2 patients with a large laparotomy scar deemed to be at high risk of developing complications after PEG. Patients underwent EUS-guided PEG and deployment of a standard enteral feeding tube. Technical success and complication rates. PEG was successful under EUS guidance in 5 of 8 patients. Causes of failure included an inadequate EUS window because of a prior Billroth 1 gastrectomy in one and suspected bowel interposition in 2 patients. There were no complications. A small number of patients, uncontrolled study, and short follow-up period. This technique may facilitate deployment of PEG in patients who lack adequate abdominal-wall transillumination." @default.
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- W2029896553 date "2008-12-01" @default.
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- W2029896553 title "EUS-guided percutaneous endoscopic gastrostomy for enteral feeding tube placement" @default.
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- W2029896553 doi "https://doi.org/10.1016/j.gie.2008.06.062" @default.
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