Percutaneous endoscopic gastrostomy under steadypressure automatically controlled endoscopy:First clinicalseries

查看全文 作　　者：Hiroyuki [1]Imaeda;Kiyokazu [2]Nakajima;Naoki [3]Hosoe;Masanori [4]Nakahara;Shinichiro [4]Zushi;Motohiko [5]Kato;Kazuhiro [3]Kashiwagi;Yasushi [4]Matsumoto;Kayoko [3]Kimura;Rieko [3]Nakamura;Norihito [6]Wada;Masahiko [5]Tsujii;Naohisa [7]Yahagi;Toshifumi [8]Hibi;Takanori [8]Kanai;Tetsuo [5]Takehara;Haruhiko [3]Ogata

机构地区：[1]Department of General Internal Medicine,Saitama Medical University,Saitama 350-0495,Japan;[2]Division of Next Generation Endoscopic Intervention,Osaka University,Osaka 565-0871,Japan;[3]Center for Diagnostic and Therapeutic Endoscopy,School of Medicine,Keio University,Tokyo 160-8582,Japan;[4]Department of Gastroenterology,Ikeda City Hospital,Osaka 563-8510,Japan;[5]Department of Gastroenterology and Hepatology,Graduate School of Medicine,Osaka University,Osaka 565-0871,Japan;[6]Department of Surgery,School of Medicine,Keio University,Tokyo 160-8582,Japan;[7]Division of Research and Development for Minimally Invasive Treatment,Cancer Center,School of Medicine,Keio University,Tokyo 160-8582,Japan;[8]Division of Gastroenterology and Hepatology,Department of Internal Medicine,School of Medicine,Keio University,Tokyo 160-8582,Japan

出　　处：《World Journal of Gastrointestinal Endoscopy》索引2016年第8卷第3期,共6页

摘　　要：AIM: To elucidate the safety of percutaneous endoscopic gastrostomy(PEG) under steady pressure automatically controlled endoscopy(SPACE) using carbon dioxide(CO_2).METHODS: Nine patients underwent PEG with a modified introducer method under conscious sedation. A T-tube was attached to the channel of an endoscope connected to an automatic surgical insufflator. The stomach was inflated under the SPACE system. The intragastric pressure was kept between 4-8 mmH g with a flow of CO_2 at 35 L/min. Median procedure time, intragastric pressure, median systolic blood pressure, partial pressure of CO_2, abdominal girth before and immediately after PEG, and free gas and small intestinal gas on abdominal X-ray before and after PEG were recorded. RESULTS: PEG was completed under stable pneumostomach in all patients, with a median procedural time of 22 min. Median intragastric pressure was 6.9 mmH g and median arterial CO_2 pressure before and after PEG was 42.1 and 45.5 Torr(NS). The median abdominal girth before and after PEG was 68.1 and 69.6 cm(NS). A mild free gas image after PEG was observed in two patients, and faint abdominal gas in the downstream bowel was documented in two patients.CONCLUSION: SPACE might enable standardized pneumostomach and modified introducer procedure of PEG. 关键词：PERCUTANEOUS endoscopic GASTROSTOMY Steadypressure AUTOMATICALLY controlled ENDOSCOPY CARBONDIOXIDE

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Percutaneous endoscopic gastrostomy under steadypressure automatically controlled endoscopy:First clinicalseries

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