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腹腔镜磁辅助经皮内镜胃造口术置入

Laparoscopic Magnet-Assisted Percutaneous Endoscopic Gastrostomy Placement.

作者信息

Rothenberg Kara A, Palmer Barnard J, Idowu Olajire, Kim Sunghoon

机构信息

1 Department of Surgery, University of California San Francisco-East Bay , Oakland, California.

2 Division of Pediatric Surgery, UCSF Benioff Children's Hospitals , Oakland, California.

出版信息

J Laparoendosc Adv Surg Tech A. 2019 Mar;29(3):430-432. doi: 10.1089/lap.2018.0343. Epub 2018 Nov 8.

Abstract

BACKGROUND

There are various methods to place a gastrostomy tube. We report a laparoscopic method to place a standard percutaneous endoscopic gastrostomy (PEG) tube without the use of endoscopy.

METHODS

Laparoscopic magnet-assisted PEG placement was carried out using an orogastric tube attached with a magnet that is used to retrieve the PEG wire that has been percutaneously placed into the stomach.

RESULTS

Four pediatric patients (mean age 31 months) underwent a PEG tube placement using the laparoscopic magnet-assisted PEG tube insertion technique during 2017. There were no immediate and long-term tube placement complications. Retrieval of the PEG wire using the magnet-tipped orogastric tube was successful in all patients.

CONCLUSION

Laparoscopic magnet-assisted PEG tube placement allows precise PEG tube placement without the need for endoscopy.

摘要

背景

放置胃造口管有多种方法。我们报告一种不使用内镜的腹腔镜放置标准经皮内镜下胃造口术(PEG)管的方法。

方法

采用腹腔镜磁体辅助PEG放置术,使用附带有磁体的口胃管来取回经皮放置入胃内的PEG导丝。

结果

2017年期间,4例儿科患者(平均年龄31个月)采用腹腔镜磁体辅助PEG管插入技术进行了PEG管放置。没有即刻和长期的置管并发症。所有患者使用带磁体的口胃管成功取回了PEG导丝。

结论

腹腔镜磁体辅助PEG管放置术无需内镜即可精确放置PEG管。

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