Safer Percutaneous Gastrostomy Placement in Patients with Carcinomatosis

For patients requiring long-term gastrostomy for enteral feedings and in whom an endoscope can be passed into the stomach, percutaneous gastrostomy (PEG) is the preferred procedure. In patients with carcinomatosis, however, there is an increased risk of large or small bowel injury during PEG placeme...

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Published inThe American surgeon Vol. 70; no. 8; pp. 740 - 741
Main Authors Marshall, Harry P., Garcia, Alvaro, Holt, Richard W.
Format Journal Article Conference Proceeding
LanguageEnglish
Published Los Angeles, CA SAGE Publications 01.08.2004
Southeastern Surgical Congress
SAGE PUBLICATIONS, INC
Subjects
Biological and medical sciences
Cancer
Carcinoma - complications
Carcinoma - secondary
Enteral Nutrition - instrumentation
Gastrostomy - methods
General aspects
Humans
Medical sciences
Oncology
Patients
Safety
Stomach
Stomach Neoplasms - complications
Stomach Neoplasms - secondary
Surgery
Gastrostomy
Human
Medicine
Stomach
Treatment
Carcinosis
Surgery
Malignant tumor
Metastasis
Percutaneous route
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Summary:For patients requiring long-term gastrostomy for enteral feedings and in whom an endoscope can be passed into the stomach, percutaneous gastrostomy (PEG) is the preferred procedure. In patients with carcinomatosis, however, there is an increased risk of large or small bowel injury during PEG placement, and sometimes surgeons consulted for open gastronomy in these patients. Here, a method for PEG insertion in patients with carcinomatosis is described. This method provides a safer and more controlled approach to the gastrointestinal tract than the traditional PEG procedure.
Bibliography:ObjectType-Article-1
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ISSN:0003-1348
1555-9823
DOI:10.1177/000313480407000818