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New method of percutaneous gastrostomy using anchoring devices | JoVE Visualize

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New method of percutaneous gastrostomy using anchoring devices

T K Wu, D Pietrocola, H F Welch

American Journal of Surgery|February 1, 1987

View abstract on PubMed

Summary

A novel anchoring device simplifies percutaneous endoscopic gastrostomy (PEG) by securing the stomach to the abdominal wall. This technique offers an easier, more reliable method for PEG tube placement and maintenance.

Area of Science:

Gastroenterology
Surgical Innovation
Medical Devices

Background:

Percutaneous endoscopic gastrostomy (PEG) is a common procedure for enteral feeding.
Current PEG techniques have several disadvantages, including potential complications and difficulties with tube management.
There is a need for improved methods to enhance safety and ease of use in PEG procedures.

Purpose of the Study:

To introduce and evaluate a new anchoring device for securing the stomach during PEG procedures.
To compare the efficacy and safety of this novel method against existing techniques.
To assess the procedural ease, tube size selection, gastric fixation, and feeding tube replacement facilitated by the device.

Main Methods:

An anchoring device was utilized to fix the stomach to the anterior abdominal wall.
This was performed during the percutaneous endoscopic gastrostomy procedure.
The method was designed to overcome limitations of conventional PEG techniques.

Main Results:

The novel anchoring technique proved easy to perform.
It allowed for the insertion of an appropriately sized gastrostomy tube.
Secure fixation of the stomach to the abdominal wall was achieved, and feeding tube changes were facilitated.

Conclusions:

The use of an anchoring device represents a significant improvement for percutaneous endoscopic gastrostomy.
This method offers enhanced ease of performance, secure gastric fixation, and improved feeding tube management.
The technique addresses key disadvantages associated with traditional PEG procedures, potentially improving patient care and procedural outcomes.

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New Method Of Percutaneous Gastrostomy Using Anchoring Devices