TRANSNASAL PLACEMENT OF PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN CASES THAT THE ORAL ENDOSCOPE INSERTION WAS DIFFICULTY OR DANGER

Abstract

[Aim] We could successfully performe the placement of a percutaneous endoscopic gastros-tomy (PEG) by the transnasal approach (transnasal PEG) in two cases that the oral insertion of an endoscope was difficulty or danger. We described the safety and utility of the transnasal PEG.[Method] A small-diameter endoscope was inserted via the nostril into the esophagus and stomach and a 16Fr gastrostomy tube with a soft retention dome was placed, through the nose, by using the pull technique.[Result] The transnasal PEG was safely performed without the damage of a pharynx and nostril.[Conclusion] We think that transnasal PEG is a useful method in cases that the oral insertion of an endoscope was difficulty or danger.