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Article: Push-type percutaneous endoscopic gastrostomy with ultrathin endoscope in patients with severe trismus or obstruction due to head and neck cancers: A case series

TitlePush-type percutaneous endoscopic gastrostomy with ultrathin endoscope in patients with severe trismus or obstruction due to head and neck cancers: A case series
Authors
KeywordsHead And Neck Cancer
Push-Type Percutaneous Endoscopic Gastrostomy
Trismus
Tube Feeding
Issue Date2011
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH
Citation
Surgical Practice, 2011, v. 15 n. 4, p. 132-136 How to Cite?
AbstractAim: Endoscopically-placed, push-type percutaneous endoscopic gastrostomies (PEG) have recently been made possible through the use of a gastropexy device. However, the safety and efficacy of the procedure in patients suffering from severe trismus or malignant obstruction due to head and neck cancers have rarely been reported. The aim of this study was thus to investigate the feasibility, safety and risk of endoscopic push-type PEG in this group of patients. Patients and Methods: Consecutive patients who were indicated for PEG and suffered from severe trismus or malignant obstruction due to head and neck cancers, precluding the introduction of a 9.8mm oesophagogastroduodenoscope were included. Push-type PEG was performed under endoscopic control with a 5-mm endoscope and the loop fixture device. Results: Eleven patients had push-type PEG performed under conscious sedation. All procedures were successful, and minor complications occurred in one patient with a dislodged gastrostomy tube and another with wound infection. There were no mortalities or major morbidities related to the procedure. Conclusions: Push-type PEG with gastropexy inserted under endoscopic control by an ultrathin endoscope is a feasible alternative to open gastrostomy in patients with severe trismus or pharyngeal obstruction. © 2011 The Authors. Surgical Practice © 2011 College of Surgeons of Hong Kong.
Persistent Identifierhttp://hdl.handle.net/10722/169755
ISSN
2013 Impact Factor: 0.172
2015 SCImago Journal Rankings: 0.121
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, SMen_US
dc.contributor.authorTeoh, AYBen_US
dc.contributor.authorWong, TCLen_US
dc.contributor.authorChiu, PWYen_US
dc.contributor.authorWong, SKHen_US
dc.contributor.authorNg, EKWen_US
dc.date.accessioned2012-10-25T04:54:53Z-
dc.date.available2012-10-25T04:54:53Z-
dc.date.issued2011en_US
dc.identifier.citationSurgical Practice, 2011, v. 15 n. 4, p. 132-136en_US
dc.identifier.issn1744-1625en_US
dc.identifier.urihttp://hdl.handle.net/10722/169755-
dc.description.abstractAim: Endoscopically-placed, push-type percutaneous endoscopic gastrostomies (PEG) have recently been made possible through the use of a gastropexy device. However, the safety and efficacy of the procedure in patients suffering from severe trismus or malignant obstruction due to head and neck cancers have rarely been reported. The aim of this study was thus to investigate the feasibility, safety and risk of endoscopic push-type PEG in this group of patients. Patients and Methods: Consecutive patients who were indicated for PEG and suffered from severe trismus or malignant obstruction due to head and neck cancers, precluding the introduction of a 9.8mm oesophagogastroduodenoscope were included. Push-type PEG was performed under endoscopic control with a 5-mm endoscope and the loop fixture device. Results: Eleven patients had push-type PEG performed under conscious sedation. All procedures were successful, and minor complications occurred in one patient with a dislodged gastrostomy tube and another with wound infection. There were no mortalities or major morbidities related to the procedure. Conclusions: Push-type PEG with gastropexy inserted under endoscopic control by an ultrathin endoscope is a feasible alternative to open gastrostomy in patients with severe trismus or pharyngeal obstruction. © 2011 The Authors. Surgical Practice © 2011 College of Surgeons of Hong Kong.en_US
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASHen_US
dc.relation.ispartofSurgical Practiceen_US
dc.subjectHead And Neck Canceren_US
dc.subjectPush-Type Percutaneous Endoscopic Gastrostomyen_US
dc.subjectTrismusen_US
dc.subjectTube Feedingen_US
dc.titlePush-type percutaneous endoscopic gastrostomy with ultrathin endoscope in patients with severe trismus or obstruction due to head and neck cancers: A case seriesen_US
dc.typeArticleen_US
dc.identifier.emailWong, TCL: wongtcl@hku.hken_US
dc.identifier.authorityWong, TCL=rp01679en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1744-1633.2011.00565.xen_US
dc.identifier.scopuseid_2-s2.0-80055118139en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-80055118139&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume15en_US
dc.identifier.issue4en_US
dc.identifier.spage132en_US
dc.identifier.epage136en_US
dc.identifier.isiWOS:000297560800006-
dc.publisher.placeAustraliaen_US
dc.identifier.scopusauthoridChan, SM=53982673300en_US
dc.identifier.scopusauthoridTeoh, AYB=6602494653en_US
dc.identifier.scopusauthoridWong, TCL=22977955100en_US
dc.identifier.scopusauthoridChiu, PWY=7103182534en_US
dc.identifier.scopusauthoridWong, SKH=24345849900en_US
dc.identifier.scopusauthoridNg, EKW=24328695100en_US

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