0000000000919354
AUTHOR
Klaus Mergener
Mini-Laparoscopically Guided Percutaneous Gastrostomy and Jejunostomy
Abstract Background: Percutaneous endoscopic tube placement can be problematic under certain circumstances: absence of transillumination of the abdominal wall, percutaneous jejunostomy in patients with a PEG tube and recurrent aspiration, enteral feeding access after gastrectomy, and obstruction of the upper GI tract. As an alternative in these problematic situations, a technique was developed for placing feeding tubes under visual control by using mini-laparoscopy. Methods: Placement of a feeding tube with mini-laparoscopy with the patient under conscious sedation was considered for 17 patients in whom standard PEG placement was impossible. Techniques used were the following: combined mini…
ENDOSCOPIC TREATMENT FOR ACUTE BILIARY PANCREATITIS
Worldwide, gallstones are the most common cause of acute pancreatitis, a disorder that ranges in severity from mild to life-threatening. How gallstones cause pancreatitis is hotly debated, as is the need for endoscopic decompression of the bile duct in sick patients. This article is a critical analysis of the existing data.