Percutaneous Transesophageal Gastrotubing: Alternative Tube Nutrition for a Patient with a Ventriculoperitoneal Shunt
Overview
Affiliations
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.
Tamamori Y, Sakurai K, Kubo N, Yonemitsu K, Fukui Y, Nishimura J Surg Case Rep. 2020; 6(1):214.
PMID: 32833125 PMC: 7445208. DOI: 10.1186/s40792-020-00965-z.
Toh Yoon E, Nishihara K Therap Adv Gastroenterol. 2017; 10(12):911-917.
PMID: 29204186 PMC: 5703106. DOI: 10.1177/1756283X17730810.