Introducer-type percutaneous gastrostomy system

Dr. Mavrogenis GeorgiosMavrogenis 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 1Figure 1. The introducer needle is inserted in the stomach (left), the loop is opened, and the suture is passed inside it (right).

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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