Endoscopic holder-assisted percutaneous endoscopic gastrostomy placement: results of a prospective, randomized comparison study.
BACKGROUND
We developed a new method of endoscope holder-assisted percutaneous endoscopic gastrostomy (PEG) placement requiring only a single physician.


OBJECTIVE
This study compared the feasibility and safety of the new method with the conventional pull method of PEG performed by 2 physicians.


METHODS
Prospective, randomized comparison study.


METHODS
Rural municipal hospital.


METHODS
Eighty consecutive patients with dysphagia.


METHODS
Patients were randomized to receive PEG placement by a single physician using the endoscope holder (40 patients) or by 2 physicians using the conventional pull method (40 patients).


METHODS
The success rate, duration, and complications of both methods were scored.


RESULTS
The success rate of PEG by either method was similar (98%) using the endoscope holder compared with 100% with the conventional method. The duration of both endoscopic procedures was also similar (12.9 +/- 2 and 11.5 +/- 2 minutes) (P = .43). No major complication occurred with either procedure. There was 1 death within 30 days (of aspiration pneumonia) 3 days after conventional PEG placement.


CONCLUSIONS
The number of patients evaluated is small.


CONCLUSIONS
Endoscope holder-assisted PEG placement allows a single physician to perform all the important aspects of pull PEG placement under direct vision without assistance from another specially trained individual. The method appears to be as feasible and safe as the conventional pull method.
Horiuchi
Akira
A
Department of Gastroenterology, Showa Inan General Hospital, Komagane, Japan.
Nakayama
Yoshiko
Y
Fujii
Hideyasu
H
Kajiyama
Masashi
M
D000368:Aged; D003680:Deglutition Disorders / Q000628:therapy*; D004750:Enteral Nutrition / Q000295:instrumentation*; D004867:Equipment Design; D019544:Equipment Failure Analysis; D020699:Gastroscopes; D005774:Gastrostomy / Q000295:instrumentation*; D006801:Humans; D010348:Patient Care Team; D012307:Risk Factors; D013523:Surgical Equipment; D016896:Treatment Outcome