Jj. Vargo et al., ULTRASOUND-ASSISTED PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A PATIENT WITH ADVANCED OVARIAN-CARCINOMA AND RECURRENT INTESTINAL-OBSTRUCTION, The American journal of gastroenterology, 88(11), 1993, pp. 1946-1948
We report a case of recurrent bowel obstruction in a 56-yr-old woman s
econdary to progressive ovarian carcinoma. Due to a history of multipl
e prior surgeries, intraperitoneal chemotherapy, radiotherapy, and pro
gressive intra-abdominal disease, placement of a percutaneous endoscop
ic gastrostomy (PEG) for decompression was thought to carry significan
t risk if standard techniques were used. We therefore used transcutane
ous ultrasound imaging at the time of endoscopy, which allowed for rap
id localization of an appropriate area for PEG placement, thereby mini
mizing the risk of inadvertently entering adjacent organs or metastati
c foci. To our knowledge, this is the first such case in which ultraso
und-assisted PEG placement has been utilized.