New method of percutaneous gastrostomy using anchoring devices

Area of Science:

• Gastroenterology
• Surgical Innovation
• Medical Devices

Background:

• Percutaneous endoscopic gastrostomy (PEG) is a common procedure for enteral feeding.
• Current PEG techniques have associated disadvantages, including suboptimal gastric fixation and difficulties with tube management.
• There is a need for improved methods to enhance the safety and efficacy of PEG procedures.

Purpose of the Study:

• To introduce and evaluate a novel anchoring device for securing the stomach during PEG.
• To assess the advantages of this new anchoring technique compared to existing methods.
• To determine the feasibility and benefits of the device in terms of ease of performance, tube size selection, gastric fixation, and feeding tube replacement.

Main Methods:

• An anchoring device was utilized to affix the stomach to the abdominal wall during the PEG procedure.
• The technique was performed, focusing on the ease of the procedure and the ability to insert an appropriately sized gastrostomy tube.
• The fixation of the stomach and the subsequent ease of changing the feeding tube were key aspects evaluated.

Main Results:

• The described method offers a solution to overcome many disadvantages of the currently employed PEG technique.
• The procedure is straightforward to execute.
• The technique ensures secure fixation of the stomach to the abdominal wall.
• It allows for the insertion of a gastrostomy tube of a suitable size.
• Facilitation of feeding tube changes is a notable benefit.

Conclusions:

• The use of an anchoring device represents a significant improvement in percutaneous endoscopic gastrostomy.
• This method enhances procedural ease, gastric fixation, and long-term tube management.
• The technique holds promise for improving patient care and outcomes in procedures requiring gastrostomy.