経鼻内視鏡，ガイドワイヤー，スネアを用いた安全な胃瘻カテーテル交換方法（ガイドワイヤー把持法）の経験

• 上甲 秀樹

  宇和島社会保険病院外科

• 日前 敏子

  宇和島社会保険病院外科

• 佐藤 元通

  宇和島社会保険病院外科

• 青野 真実

  宇和島社会保険病院内科

• 岡 清仁

  宇和島社会保険病院内科

書誌事項

タイトル別名

• USEFULNESS OF TRANSNASAL GASTROSCOPY, GUIDEWIRE AND SNARE IN THE EXCHANGE OF A PERCUTANEOUSLY PLACED GASTROSTOMY CATHETER

抄録

We introduced a new technique to exchange a percutaneous gastrostomy button-type catheter under the guidance of transnasal gastroscopy with snare. During the procedure, the guidewire inserted through the gastric fistula was grasped endoscopially. Transnasal type was used in 10 patients, while peroral type in 10. We compared the two groups in terms of the procedure time, gagging episodes, and maneuverability. In patients undergoing transnasal endoscopy, the time was significantly shorter (6.6±0.7 min. vs. 8.9±0.7 min. mean±SD, P<0.001) ; gagging episodes were fewer (0.6±0.5 times vs. 2.3±0.4 times, mean ±SID, P<0.001) ; and insertion of the endoscopy was easier as compared to those undergoing peroral endoscopy. There was no complication in both groups. This technique using transnasal gastroscopy, guidewire and snare may be less invasive and safer.

収録刊行物

• 日本消化器内視鏡学会雑誌

  日本消化器内視鏡学会雑誌 50 (9), 2503-2507, 2008

  一般社団法人 日本消化器内視鏡学会

キーワード

• 経鼻内視鏡/ガイドワイヤー/スネア/胃瘻力テーテル交換/ガイドワイヤー把持法

詳細情報

• CRID: 1390282679195806720
• NII論文ID: 130004090145
• NII論文ID: 10024424411
• NII書誌ID: AN00192102
• DOI: 10.11280/gee1973b.50.2503
• ISSN: 18845738
• ISSN: 03871207
• Web Site: https://search.jamas.or.jp/link/ui/2008371850
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可