title: Temporary transgastrostomy tube for ileus.
abstract: OBJECTIVE
  In cases of small bowel obstruction, prolonged use of nasogastric tubes should be avoided because of the resulting discomfort. However, their use is necessary in some instances to avoid surgery, facilitate better prognosis, or prevent postoperative reobstruction in spite of the discomfort involved. We performed temporary percutaneous endoscopic gastrostomies preoperatively, intraoperatively, and postoperatively in such cases, which reduced the complications resulting from the use of a nasogastric tube and was also useful in additional therapeutic procedures.
  
  
  METHODS
  We performed percutaneous endoscopic gastrostomy in five patients with ileus who were candidates for prolonged tube decompression due to complications such as adhesion ileus.
  
  
  RESULTS
  Four patients avoided surgery or postoperative repeat surgery and one patient's condition improved preoperatively.
  
  
  CONCLUSIONS
  Following gastrostomy, the patients were able to tolerate the transgastrostomy tube for longer periods than the nasogastric tube, and the transgastrostomy tube also resulted in better outcomes. Thus, temporary percutaneous endoscopic gastrostomy is a better option for selected patients with ileus.
authors.affiliation: Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Kawasumi 1, Mizuho-ku, Nagoya, 467-8601, Japan. takasato@med.nagoya-cu.ac.jp.
authors.forename: Satoru
authors.initials: S
authors.lastname: Takayama
authors.affiliation: Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Kawasumi 1, Mizuho-ku, Nagoya, 467-8601, Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Sakamoto
authors.affiliation: Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Kawasumi 1, Mizuho-ku, Nagoya, 467-8601, Japan.
authors.forename: Takehiro
authors.initials: T
authors.lastname: Wakasugi
authors.affiliation: Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Kawasumi 1, Mizuho-ku, Nagoya, 467-8601, Japan.
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Takeyama
keywords: Ileus; PEG; Transgastrostomy tube