BACKGROUND AND AIMS Peristomal wound infections are common complications of percutaneous endoscopic gastrostomy (PEG). The Funada-style gastropexy device has two parallel needles with a wire loop and suture thread, and was developed about 20 years ago in Japan. This kit has allowed us to perform dual gastropexy very easily; PEG with gastropexy has become a very popular technique in Japan. The p...

Volvulus of the small bowel, although rare, carries a high risk of strangulation and ischemic necrosis. It is usually caused by the rotation of a loop of small intestine around an adhesion band or stoma. We present a case of an anterior gastropexy band, giving rise to a small bowel volvulus, necessitating resection due to infarction. This band resulted from separation of the most distal anterio...

OBJECTIVE To evaluate the use of endoscopy in conjunction with a gastropexy technique in dogs as a potential means to aid prevention of gastric dilatation-volvulus. ANIMALS 12 healthy adult medium- and large-breed dogs. PROCEDURES 12 adult research dogs that had no abnormal physical examination findings each underwent an endoscopically assisted gastropexy procedure. On completion of the pro...

A simplified technique for laparoscopic gastropexy (group 1) was compared to belt-loop gastropexy (group 2) in eight adult male dogs randomly divided into two groups of four dogs each. Our hypothesis was that a satisfactory laparoscopic gastropexy would approximate the strength and operative time required for belt-loop gastropexy. Operative time, surgical complications, postoperative morbidity,...

Gastric dilatation–volvulus (GDV) is a syndrome characterized by rapid accumulation of gas or food in the stomach, increased intragastric pressure and wall tension, and rotation of the stomach about its long axis. Gastric distention unleashes a series of potentially lethal pathophysiologic events, the most important of which are compression of the portal and caudal vena caval venous blood flow,...

In terms of GDV prevention, a number of non-surgical measures are recommended. However, the only truly reliable method is gastropexy, most often as part of a surgical treatment of GDV. Gastropexy may be performed preventively either during laparotomy indicated for another reason than GDV, or newly laparoscopically, as independent preventive gastropexy. Preventive laparoscopic assisted gastropex...

CONTEXT Enteral feeding is indicated for patients unable to maintain appropriate oral intake, and percutaneous endoscopic gastrostomy (PEG) is the most adequate long-term enteral access. Peristomal infections are the most common complications of PEG, occurring in up to 8% of patients, despite the use of prophylactic antibiotics. The "introducer" PEG-gastropexy technique avoids PEG tube passage ...

reported the efficacy of gastropexy using a ‘Funada style’ kit [1, 2] . Our patient, with a misinserted gastrostomy tube, was successfully treated during replacement using the gastropexy technique. Dear Sir, Percutaneous endoscopic gastrostomy (PEG) is a widely accepted method of providing long-term nutrition. However, as this procedure becomes more common for nutritional support, numerous comp...

PETZINGER CT, PARMELY JD. Laparoscopic Paraesophageal Hernia Reduction with Two Point Fixation via Ponsky PEG Tube in a Patient in their early 90s. Spartan Med. Res. J. Vol. 2, No.1, pp. 74-85, 2017. CONTEXT: Paraesphageal hernia (PEH) repairs have been historically controversial due to widely variable clinician opinions. However, there is little research regarding the use of PEH reduction and ...

A 5-year-old boy, who had had repeated episodes of vomiting, developed sudden onset mild abdominal pain and vomiting. An enhanced computed tomography (CT) scan showed marked distension of the stomach (●" Fig.1) and a barium meal revealed a suspected mesenterioaxial gastric volvulus (●" Fig.2a). No evidence of a hiatal hernia or mucosal ischemic change was observed on esophagogastroduodenoscopy....