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William E. Strodel, MD; John Lemmer, MD; Frederic Eckhauser, MD; Mark Botham, MD; Thomas Dent, MD

Arch Surg. 1983;118(4):449-453.

Abstract
• We performed endoscopic percutaneous gastrostomy (EPG) on 22 patients. All procedures were performed using local anesthesia with intravenous diazepam sedation. Formal laparotomy was not required. The mean patient age was 58 years (range, 21 to 83 years). indications for EPG placement included neurologic disorders in 17 patients, head and neck tumors in four patients, and esophageal disease in one patient. The mean operative time for EPG was 27.5 minutes, with a range of 11 to 60 minutes. Two major complications, a gastrocolic fistula and an intraperitoneal gastric leak, occurred early in the series. The technique has been modified with no similar complications. Pneumoperitoneum after EPG was demonstrated in eight patients without sequelae. Ileus following EPG was not observed in any patient, and enteral feedings were uniformly resumed 48 hours after tube placement. Our early experience with EPG suggests that this technique is a safe, cost-effective, and time-saving alternative to traditional gastrostomy tube placement.

(Arch Surg 1983;118:449-453)

Author Affiliations
From the Surgical Service, Veterans Administration Medical Center (Drs Strodel and Eckhauser), and the Department of Surgery, University of Michigan Medical School (Drs Lemmer, Botham, and Dent), Ann Arbor.

Footnotes
Accepted for publication Oct 13, 1982.

Read before the Sixth Annual Surgical Symposium of the Association of Veterans Administration Surgeons, Atlanta, May 14, 1982.

Reprint requests to Surgical Service (112), Ann Arbor Veterans Administration Medical Center, 2215 Fuller Rd, Ann Arbor, MI 48105 (Dr Strodel).

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