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Analysis of the results of the application of percutaneous puncture endoscopic gastrostomy technique

https://doi.org/10.17238/2072-3180-2024-2-12-22

Abstract

Introduction. Increase in application frequency of minimally invasive including endoscopic surgical techniques warrants the dilemma of choice the most rational, safe and effective surgical approach. The aim of the study was to compare the results of the two techniques of percutaneous puncture endoscopic gastrostomy (PPEG) – the «pull-technique» and «push-technique».

Material and methods. The results of PPEG were analyzed in 103 patients. All patients were divided into two groups: group 1 – 53 patients who underwent «pull-technique» PPEG and group 2 – 50 patients after PPEG by «push-technique». Treatment results. Technical results were achieved in 100 % of cases, upon that the «pull-technique» PPEG showed evident advantages. Accomplishment of the procedure was clinically effective in 100 % of patients of the 1st group and in 98 % of cases in the 2nd group (p > 0,05). Time of the procedure was 12,2±3,4 min in group 1 and 22,3±3,6 min in group 2 (p > 0,05). Overall complication rate comprised 13,5 % in both groups: 6 complications in group 1, 8 complications in the 2nd group. Incidence of 30-day mortality in group 1 was 5,7 % (3 patients) and 2 % in group 2 (1 patient).

Conclusion. PPEG in patients with dysphagia of various etiology is characterized by good results independently of whatever technique is applied. The «pull-technique» of PPEG is technically more simple.

About the Authors

Е. V. Frolova
Bol'nica Centrosojuza Rossijskoj Federacii
Russian Federation

Frolova Ekaterina Vladimirovna – Candidate of Medical Sciences of the Department of Endoscopic Surgery, endoscopist

107150, st. Losinoostrovskaya, 39, Moscow


S. I. Emelyanov
Federal state budgetary educational institution of higher education "Russian university of medicine" of the ministry of health of the Russian Federation
Russian Federation

Emelyanov Sergey Ivanovich – Doctor of Medical Sciences, Professor, Corresponding Member of the Russian Academy of Sciences, Head of the Department of Endoscopic Surgery

127006, st. Dolgorukovskaya 4, Moscow


Е. Кh. Samsonyan
Federal state budgetary educational institution of higher education "Russian university of medicine" of the ministry of health of the Russian Federation
Russian Federation

Edgar Khazhakovich Samsonyan – Candidate of Medical Sciences, Associate Professor of the Department of Endoscopic Surgery

127006, st. Dolgorukovskaya 4


О. Е. Lutsevich
Federal state budgetary educational institution of higher education "Russian university of medicine" of the ministry of health of the Russian Federatio
Russian Federation

Lutsevich Oleg Emmanuilovich – professor, corresponding member of the Russian Academy of Sciences, head of the department of faculty surgery No. 1

127006, st. Dolgorukovskaya 4, Moscow


D. Yu. Bogdanov
Federal state budgetary educational institution of higher education "Russian university of medicine" of the ministry of health of the Russian Federatio
Russian Federation

Dmitry Yuryevich Bogdanov – MD, PhD, Professor of the Department of Endoscopic Surgery

127006, st. Dolgorukovskaya 4, Moscow


R. А. Bashirov
Bol'nica Centrosojuza Rossijskoj Federacii
Russian Federation

Bashirov Ramil Azerovich – candidate of medical sciences, endoscopist

107150, st. Losinoostrovskaya, 39


М. А. Sekundova
Bol'nica Centrosojuza Rossijskoj Federacii
Russian Federation

Sekundova Maria Aleksandrovna – oncologist

107150, st. Losinoostrovskaya, 39, Moscow


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Review

For citations:

Frolova Е.V., Emelyanov S.I., Samsonyan Е.К., Lutsevich О.Е., Bogdanov D.Yu., Bashirov R.А., Sekundova М.А. Analysis of the results of the application of percutaneous puncture endoscopic gastrostomy technique. Moscow Surgical Journal. 2024;(2):12-22. (In Russ.) https://doi.org/10.17238/2072-3180-2024-2-12-22

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