Percutaneous endoscopic gastric tube-stomy after esophagectomy with antesternal reconstruction using pteg kit. case report

Abstract

Percutaneous transesophageal gastro-tubing (PTEG) is known as a minimally invasive technique available for use in cases in which percutaneous endoscopic gastrostomy (PEG) is not indicated. We report a case in which percutaneous endoscopic antesternal gastric tube-stomy was performed with a PTEG kit.
A 70-year-old male with a past history of cerebral infarction and esophagectomy with antesternal reconstruction was admitted to our ward with a chief complaint of dysphagia in May, 2003. Despite antibiotic therapy and swallowing rehabilitation, a high-grade fever persisted because of aspiration pneumonia. To improve the patient's general condition and control the aspiration pneumonia, percutaneous endoscopic gastric tube-stomy with a PTEG kit was performed in July. It was performed under local anesthesia, and the procedure took only 15 minutes. This technique is minimally invasive and can be used to treat high-risk cases, in which it would be difficult to perform surgery under general anesthesia.