title: Endoscopic holder-assisted percutaneous endoscopic gastrostomy placement: results of a prospective, randomized comparison study.
abstract: 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.
authors.affiliation: Department of Gastroenterology, Showa Inan General Hospital, Komagane, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Horiuchi
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Nakayama
authors.forename: Hideyasu
authors.initials: H
authors.lastname: Fujii
authors.forename: Masashi
authors.initials: M
authors.lastname: Kajiyama
mesh_terms: 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