EUS-guided percutaneous endoscopic gastrostomy for enteral feeding tube placement.
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.
Chaves
Dalton M
DM
Department of Gastrointestinal Endoscopy, University of São Paulo School of Medicine, São Paulo, Brazil.
Kumar
Atul
A
Lera
Marcos E
ME
Maluf
Fauze
F
Artifon
Everson L
EL
Moura
Eduardo G
EG
Halwan
Bhawna
B
Ishioka
Shinichi
S
Sakai
Paulo
P
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