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Decompressive percutaneous endoscopic gastrostomy in nonmalignant disease
Joshua Felsher1, Bipan Chand, Jeffrey Ponsky
1Minimally Invasive Surgery Center, Department of General Surgery, A80, Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, OH 44195, USA.
American Journal of Surgery
|February 11, 2004
Summary
Percutaneous endoscopic gastrostomy (PEG) can effectively decompress the gastrointestinal tract in nonmalignant conditions. This drainage gastrostomy serves as a valuable bridge to surgery or for long-term management of bowel dysfunction.
Area of Science:
- Gastroenterology
- Surgical Endoscopy
Background:
- Percutaneous endoscopic gastrostomy (PEG) is standard for long-term enteral access, supporting nutrition or decompression.
- Decompressive gastrostomy is typically used for malignant obstruction but has potential in nonmalignant bowel dysfunction.
Purpose of the Study:
- To evaluate the efficacy of percutaneous endoscopic gastrostomy for gastrointestinal decompression in nonmalignant conditions.
- To assess the role of decompressive gastrostomy as a bridge to surgery or for long-term management.
Main Methods:
- Retrospective review of percutaneous endoscopic gastrostomies performed over a 2-year period.
- Analysis of 20 gastrostomies placed for gastrointestinal decompression.
Main Results:
- Eleven of 18 successfully placed decompressive gastrostomies were for benign conditions.
- In 5 patients with fistulous disease, decompression facilitated diversion until operative repair, with 4 undergoing subsequent surgery.
Conclusions:
- Percutaneous endoscopic gastrostomy is effective for decompressing nonmalignant conditions.
- Drainage gastrostomy can serve as a bridge to surgery or provide long-term decompression for bowel dysfunction.