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Percutaneous endoscopic gastrostomy after Billroth II gastrectomy
Paolo Dell'Abate1, Paolo Del Rio, Paolo Soliani
1Institute of General Surgery and Organ Transplantation, University of Parma, Parma, Italy.
Acta Bio-Medica : Atenei Parmensis
|February 25, 2003
Summary
Percutaneous endoscopic gastrostomy (PEG) offers nutritional support for patients unable to eat. This study shows PEG placement is feasible even after prior Billroth II gastroresection surgery.
Area of Science:
- Gastroenterology
- Surgical Procedures
- Nutritional Support
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a common method for providing nutritional support.
- Patients with prior Billroth II gastroresection historically faced challenges with gastrostomy placement.
Purpose of the Study:
- To evaluate the feasibility and safety of PEG placement in patients with a history of Billroth II gastroresection.
- To demonstrate that previous Billroth II gastroresection is not a contraindication for PEG.
Main Methods:
- Retrospective review of 5 cases.
- Percutaneous endoscopic gastrostomy (PEG) procedures were performed.
- Patients had a history of Billroth II gastroresection.
Main Results:
- Successful PEG placement was achieved in all 5 cases.
- No major complications were reported during or after the procedures.
- Nutritional support was effectively established.
Conclusions:
- Percutaneous endoscopic gastrostomy (PEG) is a safe and effective option for nutritional support in patients with prior Billroth II gastroresection.
- Billroth II gastroresection should not be considered a contraindication for PEG placement.
- PEG offers a valuable alternative to surgical gastrostomy in this patient population.