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Endoscopic Techniques for Enteral Access

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Principles of Flexible Endoscopy for Surgeons

Abstract

Tools and techniques for enteral access have changed dramatically in large part due to advancements in the fields of endoscopy, laparoscopy, and radiology. Percutaneous endoscopic gastrostomy tube placement is now the standard of gastric feeding access since its development by Gauderer and Ponsky in 1980. The percutaneous endoscopic technique allows for safe and feasible access without the need for general anesthesia or laparotomy in the majority of patients. Using the principles of this initial innovation, minimally invasive methods to access the gastrointestinal tract have expanded tremendously. In this chapter, we outline the evolution of minimally invasive tools and techniques for enteral access.

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Author information

Authors and Affiliations

  1. Department of General Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA

    Samuel Ibrahim M.D.

  2. Surgical Endoscopy, Department of Bariatric and Metabolic Institute, Cleveland Clinic Hospital, Cleveland, OH, USA

    Kevin El-Hayek M.D.

  3. Minimally Invasive Surgery, Loyola University, Maywood, IL, USA

    Bipan Chand M.D., F.A.C.S. (Associate Professor of Surgery)

Authors
  1. Samuel Ibrahim M.D.
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  2. Kevin El-Hayek M.D.
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  3. Bipan Chand M.D., F.A.C.S.
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Corresponding author

Correspondence to Bipan Chand M.D., F.A.C.S. .

Editor information

Editors and Affiliations

  1. Department of Surgery, University Hospitals Case Medical Center, Cleveland, Ohio, USA

    Jeffrey M. Marks

  2. The Methodist Hospital, Methodist Institute for Technology, Innovation and Education, Houston, Texas, USA

    Brian J. Dunkin

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Direct percutaneous endoscopic jejunostomy (DPEJ) (MP4 43634 kb)

Laparoscopic J-tube (MP4 70840 kb)

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Ibrahim, S., El-Hayek, K., Chand, B. (2013). Endoscopic Techniques for Enteral Access. In: Marks, J., Dunkin, B. (eds) Principles of Flexible Endoscopy for Surgeons. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6330-6_11

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  • DOI: https://doi.org/10.1007/978-1-4614-6330-6_11

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6329-0

  • Online ISBN: 978-1-4614-6330-6

  • eBook Packages: MedicineMedicine (R0)

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