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Percutaneous endoscopic gastrostomy for enteral feeding
K M Mohandas1, V S Swaroop, D C Desai
1Department of Medical Gastroenterology, Tata Memorial Hospital, Parel, Bombay.
Summary
Percutaneous endoscopic gastrostomy provided enteral feeding for a patient suffering from an orocutaneous fistula. A novel gastrostomy tube was constructed using readily available materials.
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Orocucutaneous fistulas present challenges in nutritional management.
- Enteral feeding is crucial for patients with complex head and neck conditions.
Observation:
- A patient with an orocutaneous fistula required enteral feeding support.
- Standard feeding tube options may be unsuitable or unavailable in certain clinical scenarios.
Findings:
- Percutaneous endoscopic gastrostomy (PEG) was successfully performed for enteral feeding.
- A custom gastrostomy tube was ingeniously constructed using locally sourced materials, demonstrating adaptability in resource-limited settings.
Implications:
- This case highlights the feasibility of PEG in managing orocutaneous fistulas.
- The described method offers a practical solution for gastrostomy tube creation when commercial options are not viable, potentially improving patient outcomes.