Mavrogenis Georgios, MD, from the Department of Gastroenterology at the Grand Hôpital de Charleroi in Charleroi, Belgium presents this video demonstration of the introducer-type percutaneous gastrostomy system.
This video describes the Pexact gastrostomy system. We made efforts to present in detail all the steps of this procedure. Not all endoscopists are familiarized with this technique. We hope that this video production will serve as an educational video for the training of endoscopists and nurses who perform this type of gastrostomy.
According to a recent study published by Ellrichmann M et al (Endoscopy 2013), malignant cell seeding after percutaneous endoscopic gastrostomy in patients with oropharyngeal/esophageal cancers occurs in 22.5% of patients and local metastases develop in up 9.4% of patients at long term follow up. We believe that the introducer-type percutaneous gastrostomy system will become the standard of practice for this subgroup of patients in order to diminish the risk of iatrogenic metastasis.
Watch the video here.
Figure 1. The introducer needle is inserted in the stomach (left), the loop is opened, and the suture is passed inside it (right).
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