Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
A case of percutaneous endoscopic gastrostomy for amyotrophic lateral sclerosis patient with situs inversus totalis
Mikiko YuharaMariko KobayashiTakeshi OjimaSatoshi SuzukiRyo AbeNaoki IshikawaYuichi HorigomeRyosuke KawagoeMamiko ShiroyamaTsubasa OnodaShintaro AkiyamaYoshiyuki YamamotoToshiaki NarasakaTaku SakamotoHideo SuzukiKiichiro Tsuchiya
Author information
JOURNAL FREE ACCESS

2024 Volume 104 Issue 1 Pages 76-77

Details
Abstract

Situs inversus totalis (SIT) is a rare congenital anomaly characterised by mirror-image transposition of the abdominal and thoracic organs. We performed a percutaneous endoscopic gastrostomy (PEG) in a 49-year-old male patient with SIT and amyotrophic lateral sclerosis. To avoid injury to the left-sided liver, we made the puncture from the right side and positioned the surgeon accordingly. Both the finger sign and illuminated sign were clearly identified. Subsequently, the gastrostomy tube was placed on the anterior wall of the stomach. No complications were observed during or after the procedure. We believe that PEG insertion in patients with SIT can be performed safely by confirming specular positioning with endoscopic and radiographic images.

Content from these authors
© 2024 Japan Gastroenterological Endoscopy Society Kanto Chapter
Previous article Next article
feedback
Top