Hydro-dissection assisted puncture of an esophageal balloon for percutaneous transesophageal gastrotubing: early experience concerning the technical feasibility, safety, and efficacy.

Authors:
Hee Ho Chu
Hee Ho Chu
Seoul National University College of Medicine
South Korea
Ji Hoon Shin
Ji Hoon Shin
University of Ulsan College of Medicine
South Korea
Jong Woo Kim
Jong Woo Kim
School of Medicine
South Korea
Jin-Hyoung Kim
Jin-Hyoung Kim
South Korea
Heung-Kyu Ko
Heung-Kyu Ko
University of Ulsan College of Medicine
South Korea

Acta Radiol 2019 Jan 12:284185118822628. Epub 2019 Jan 12.

Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.

Background: Percutaneous transesophageal gastrotubing (PTEG) is an alternative means of access into the stomach when conventional transabdominal gastric access is not possible.

Purpose: To describe the early clinical experience, technical feasibility, safety, and efficacy of the hydro-dissection assisted puncture of an esophageal balloon used for PTEG.

Material And Methods: A retrospective review was conducted of six, consecutive patients with feeding problems and who were treated with hydro-dissection assisted puncture of an esophageal balloon for PTEG. Patient baseline characteristics, such as age, sex, co-morbidities, and the underlying condition requiring PTEG, were recorded. The procedure and clinical outcomes of interests, including the route of approach, procedure time (defined as the time interval from the esophageal balloon insertion to the feeding tube placement), adverse events, duration of feeding through PTEG, and the place of discharge were observed.

Results: The PTEG creation using "hydro-dissection assisted puncture of an esophageal balloon technique" was achieved in all six patients (100% technical success). The mean procedure time was 16.5 min (range = 13-23 min) and the median duration of the feeding days through the PTEG was 87 days (range = 7-361 days). One case of deep neck infection was developed after the procedure and completely resolved by conservative treatment without removing the PTEG.

Conclusions: The hydro-dissection assisted puncture of an esophageal balloon is a safe and effective technique for PTEG when the commercial PTEG kits are unavailable.

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http://dx.doi.org/10.1177/0284185118822628DOI Listing
January 2019
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References

(Supplied by CrossRef)
Article in J Jpn Surg Soc
Oishi H et al.
J Jpn Surg Soc 1998

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