title: EUS-guided percutaneous endoscopic gastrostomy for enteral feeding tube placement.
abstract: BACKGROUND
  Patients without adequate abdominal-wall transillumination are at a high risk of developing complications after PEG.
  
  
  OBJECTIVE
  We evaluated the feasibility and utility of EUS to guide PEG in patients lacking abdominal-wall transillumination.
  
  
  METHODS
  Single-center case series.
  
  
  METHODS
  Tertiary-referral center.
  
  
  METHODS
  Six patients who lacked adequate abdominal-wall transillumination and 2 patients with a large laparotomy scar deemed to be at high risk of developing complications after PEG.
  
  
  METHODS
  Patients underwent EUS-guided PEG and deployment of a standard enteral feeding tube.
  
  
  METHODS
  Technical success and complication rates.
  
  
  RESULTS
  PEG was successful under EUS guidance in 5 of 8 patients. Causes of failure included an inadequate EUS window because of a prior Billroth 1 gastrectomy in one and suspected bowel interposition in 2 patients. There were no complications.
  
  
  CONCLUSIONS
  A small number of patients, uncontrolled study, and short follow-up period.
  
  
  CONCLUSIONS
  This technique may facilitate deployment of PEG in patients who lack adequate abdominal-wall transillumination.
authors.affiliation: Department of Gastrointestinal Endoscopy, University of São Paulo School of Medicine, São Paulo, Brazil.
authors.forename: Dalton M
authors.initials: DM
authors.lastname: Chaves
authors.forename: Atul
authors.initials: A
authors.lastname: Kumar
authors.forename: Marcos E
authors.initials: ME
authors.lastname: Lera
authors.forename: Fauze
authors.initials: F
authors.lastname: Maluf
authors.forename: Everson L
authors.initials: EL
authors.lastname: Artifon
authors.forename: Eduardo G
authors.initials: EG
authors.lastname: Moura
authors.forename: Bhawna
authors.initials: B
authors.lastname: Halwan
authors.forename: Shinichi
authors.initials: S
authors.lastname: Ishioka
authors.forename: Paulo
authors.initials: P
authors.lastname: Sakai
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D019160:Endosonography; D004750:Enteral Nutrition / Q000295:instrumentation*; D005240:Feasibility Studies; D005260:Female; D005773:Gastroscopy / Q000379:methods*; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000295:instrumentation* / Q000379:methods*; D008297:Male; D008875:Middle Aged; D055815:Young Adult