title: Percutaneous endoscopic gastrostomy tube insertion via gastro-gastric fistula in a gastric bypass patient.
abstract: Enteral feedings are the preferred route of nutritional support for malnourished or critically ill patients. Recent progress in flexible endoscopic and interventional radiological techniques has allowed adaptation of numerous new procedures. Anatomic and functional rearrangement of the gastrointestinal tract often precludes traditional percutaneus endoscopic gastrostomy tube placement. Insertion of a gastroscope through the nose, via open pharynx, or neck fistula have been described, but there are no reports in the English literature describing introduction of the gastroscope through a dilated gastro-gastric fistula in a patient with previous open Roux en Y gastric bypass.
authors.affiliation: Department of Surgery, University of Minnesota, 420 Delaware Street SE, Minneapolis, MN 55455, USA. antan003@umn.edu
authors.forename: Gintaras
authors.initials: G
authors.lastname: Antanavicius
authors.forename: Daniel
authors.initials: D
authors.lastname: Leslie
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Torres-Villalobos
authors.forename: Todd
authors.initials: T
authors.lastname: Kellogg
authors.forename: Sayeed
authors.initials: S
authors.lastname: Ikramuddin
mesh_terms: D004750:Enteral Nutrition / Q000295:instrumentation / Q000379:methods*; D015390:Gastric Bypass; D005747:Gastric Fistula; D005773:Gastroscopy; D005774:Gastrostomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013270:Stomach; D016896:Treatment Outcome