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document
Successful new method of extracorporeal percutaneous endoscopic gastrostomy ( E-PEG ) . BACKGROUND Although percutaneous endoscopic gastrostomy ( PEG ) has become popular for patients with swallowing disorders as a nutrition support or a decompressant of gastrointestine , perioperative complications associated with PEG have not decreased , especially peristomal infections . To reduce peristomal infections , we designed a new method of gastrostomy by extracorporeal approach under endoscopic observation , named as extra-corporeal PEG ( E-PEG ) . METHODS Experimental studies for E-PEG were performed repeatedly using pigs under general anesthesia to confirm the safety of its procedure for human use . After approval of institutional ethics review board in our university , thirty patients with prior consent participated in this study . The operation time , the incidence rate of complications and the hospital stay were compared between E-PEG and ordinary pull-method PEG groups . RESULTS Two patients ( 6.7 % ) in E-PEG group had postoperative complications , i.e. , aspiration pneumonia and surgical site infection . The operation time of E-PEG group was 5-16 ( mean +/- SD : 10.3 +/- 2.96 ) min as compared to 14-37 ( mean +/- SD : 26.9 +/- 8.39 ) min with pull-method PEG . The postoperative hospital day of E-PEG was within two days except for the two complicated cases . Significance differences of operation time , complication rate and postoperative hospital stay between those groups observed statistically . CONCLUSIONS These results indicate that E-PEG was safe , tolerable and speedy when compared ordinary pull-method PEG .
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Intervention_Surgical
extracorporeal percutaneous endoscopic gastrostomy ( E-PEG ) .
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Intervention_Surgical
percutaneous endoscopic gastrostomy ( PEG )
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Intervention_Surgical
PEG
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Intervention_Surgical
extra-corporeal PEG ( E-PEG )
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Intervention_Surgical
E-PEG
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Intervention_Pharmacological
anesthesia
30460
Intervention_Surgical
E-PEG and ordinary pull-method PEG groups
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Intervention_Surgical
E-PEG
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Intervention_Surgical
E-PEG
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Intervention_Surgical
PEG
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Intervention_Surgical
E-PEG
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Intervention_Surgical
E-PEG
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Intervention_Surgical
PEG
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Outcome_Other
operation time
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Outcome_Other
incidence rate of complications
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Outcome_Other
hospital stay
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Outcome_Adverse-effects
postoperative complications
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Outcome_Adverse-effects
aspiration pneumonia
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Outcome_Adverse-effects
surgical site infection
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Outcome_Other
operation time
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Outcome_Other
postoperative hospital day
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Outcome_Other
operation time
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Outcome_Other
complication rate
30477
Outcome_Other
postoperative hospital stay
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Outcome_Other
safe , tolerable
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Participant_Condition
swallowing disorders as a nutrition support
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Participant_Condition
gastrointestine
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Participant_Condition
pigs under general anesthesia
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Participant_Sample-size
thirty