Related Experiment Videos
Unsedated transnasal PEG placement
Jérôme Dumortier1, Marie-George Lapalus, Adelino Pereira
1Department of Digestive Diseases, Hôpital Edouard Herriot, Lyon, France.
Gastrointestinal Endoscopy
|January 15, 2004
Summary
Transnasal percutaneous endoscopic gastrostomy (PEG) tube insertion without sedation is feasible and minimally invasive. This technique offers a safe option for selected patients, with a high success rate and few complications.
Area of Science:
- Gastroenterology
- Minimally Invasive Procedures
- Endoscopy
Background:
- Transnasal esophagogastroduodenoscopy (EGD) is possible with small-diameter endoscopes in adults.
- Evaluating the feasibility of transnasal percutaneous endoscopic gastrostomy (PEG) placement without conscious sedation.
Purpose of the Study:
- To assess the feasibility and safety of unsedated transnasal PEG tube insertion.
- To determine the success rate and complication profile of this minimally invasive technique.
Main Methods:
- A prospective study involving 23 adult patients.
- Utilized a 5.9-mm-diameter videoendoscope for unsedated transnasal PEG attempts.
- Recorded procedure indications, success/failure, reasons for failure, and adverse effects.
Main Results:
- Successful transnasal PEG insertion was achieved in 21 out of 23 patients (91%).
- The primary reason for failure was inability to transilluminate the abdominal wall.
- Minor complications included epistaxis, wound infection, and stoma site soiling.
Conclusions:
- Unsedated transnasal PEG tube insertion is a feasible and minimally invasive procedure.
- It can be safely performed in selected patients in daily practice.
- The technique is associated with a low incidence of complications.