Percutaneous transesophageal gastrotubing: alternative tube nutrition for a patient with a ventriculoperitoneal shunt.
نویسندگان
چکیده
BACKGROUND We report a patient who underwent percutaneous transesophageal gastrotubing (PTEG), that is, nonsurgical esophagostomy under ultrasonographic control, as an alternative to percutaneous endoscopic gastrostomy (PEG). CASE DESCRIPTION The PTEG was placed for shunt protection from inadvertent infection in a 29-year-old male patient in whom a ventriculoperitoneal (VP) shunt had previously been inserted. During the 3-year follow-up period, no complications associated with PTEG were experienced. CONCLUSION Percutaneous transesophageal gastrotubing is a good alternative to PEG in a patient with a VP shunt. Further investigation concerning the risk of infection related to PTEG and PEG in VP shunt patients is needed.
منابع مشابه
Percutaneous transesophageal gastrotubing: nutrition for a patient with ventricloperitoneal shunt
Objective and Importance We report a Percutaneous transesophageal gastrotubing (PTEG) placement in a patient in whom ventricloperitoneal shunt had been inserted beforehand for a purpose of shunt protection from inadvertent infection. Technique – Using nonsurgical esophagostomy under ultrasonographic control, a feeding tube has been inserted for a 29-year-old male with ventricloperitoneal shunt....
متن کاملAcute Shunt Failure Due to Perforation of Ventriculoperitoneal Shunt Tubing during Percutaneous Gastrostomy
The placement of a percutaneous endoscopic gastrostomy (PEG) in a patient with a pre-existing ventriculoperitoneal shunt is generally regarded as safe. A critical but often overlooked technical consideration is confirmation of the course of the distal shunt tube prior to PEG insertion. We present the case of a 4-month-old male infant with shunted hydrocephalus who experienced shunt malfunction ...
متن کاملAcute Epidural Hematoma after Ventriculoperitoneal Shunt Insertion: a Case Report
Background & Importance: Acute epidural hematoma is a very rare complication of ventriculoperitoneal shunt insertion. The insertion of a ventriculoperitoneal shunt can cause sudden decompression of the brain, subsequent to which epidural hematoma occurs due to CSF drainage. To our knowledge, there are only a few cases of acute epidural hematoma in the literature which required acute e...
متن کاملEffective management of an advanced gastric cancer patient by TS-1 combined chemotherapy using nasojejunal tube and successful transfer to home care after percutaneous transesophageal gastro-tubing (PTEG): a case report.
A 67-year-old woman with debilitation and massive ascites was admitted to our hospital and diagnosed with stage IV scirrhous gastric cancer with peritoneal dissemination. After successful nasojejunal tube feeding because of oral intake disability, TS-1 combined with paclitaxel chemotherapy was selected. TS-1 at 80mg/m2 was given daily via nasojejunal tube for 2 weeks, followed by a 1-week rest,...
متن کاملAcute Shunt Malfunction Caused by Percutaneous Endoscopic Gastrostomy without Shunt Infection
Percutaneous endoscopic gastrostomy tube placement is often performed in patients with a ventriculoperitoneal shunt and it has been accepted as a safe procedure. The authors report a case of a 50-year-old male who developed acute exacerbation of the hydrocephalus immediately after the percutaneous endoscopic gastrostomy tube placement without any signs of shunt infection, which has not been rep...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Surgical neurology
دوره 72 3 شماره
صفحات -
تاریخ انتشار 2009