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[Transnasally placed percutaneous endoscopic gastrostomy probe]
1Medizinische Klinik I, Klinikum Herford.
Deutsche Medizinische Wochenschrift (1946)
|January 10, 1998
Summary
Percutaneous endoscopic gastrostomy (PEG) placement can be achieved transnasally when oral endoscopy fails. This alternative route is crucial for patients unable to tolerate standard procedures, ensuring essential nutritional support.
Area of Science:
- Gastroenterology
- Endoscopic Procedures
- Medical Case Reports
Background:
- A 78-year-old female patient presented with an organic psychotic state and severe food refusal.
- Home-based fluid infusions were insufficient, leading to dehydration and coma, necessitating intervention.
Observation:
- The patient was somnolent upon admission, precluding history taking or cooperation.
- Standard oral endoscopy was unsuccessful despite premedication with diazepam and pethidine.
Findings:
- A 9 mm external diameter gastroscope was successfully inserted transnasally into the stomach.
- Percutaneous endoscopic gastrostomy (PEG) tube placement was achieved via the transnasal route.
Implications:
- Transnasal endoscopy offers a viable alternative for gastric access when oral routes are contraindicated or fail.
- This technique is critical for patients requiring PEG placement who cannot undergo standard oral endoscopic procedures, ensuring nutritional support delivery.