title: Percutaneous transesophageal gastrotubing: alternative tube nutrition for a patient with a ventriculoperitoneal shunt.
abstract: BACKGROUND
  We report a patient who underwent percutaneous transesophageal gastrotubing (PTEG), that is, nonsurgical esophagostomy under ultrasonographic control, as an alternative to percutaneous endoscopic gastrostomy (PEG).
  
  
  METHODS
  The PTEG was placed for shunt protection from inadvertent infection in a 29-year-old male patient in whom a ventriculoperitoneal (VP) shunt had previously been inserted. During the 3-year follow-up period, no complications associated with PTEG were experienced.
  
  
  CONCLUSIONS
  Percutaneous transesophageal gastrotubing is a good alternative to PEG in a patient with a VP shunt. Further investigation concerning the risk of infection related to PTEG and PEG in VP shunt patients is needed.
authors.affiliation: Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba, Tsukuba City, Ibaraki 305-8575, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Yamamoto
authors.forename: Takao
authors.initials: T
authors.lastname: Enomoto
authors.forename: Akira
authors.initials: A
authors.lastname: Matsumura
mesh_terms: D000328:Adult; D003679:Deglutition; D004750:Enteral Nutrition / Q000379:methods*; D004946:Esophagostomy; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery*; D007441:Intubation, Gastrointestinal / Q000379:methods; D008297:Male; D017287:Ventriculoperitoneal Shunt / Q000534:rehabilitation*