Endoscopy 2019; 51(04): S86
DOI: 10.1055/s-0039-1681422
ESGE Days 2019 oral presentations
Friday, April 5, 2019 17:00 – 18:30: PEG Club B
Georg Thieme Verlag KG Stuttgart · New York

THE EFFICACY OF CARBON DIOXIDE INSUFFLATION FOR PERCUTANEOUS ENDOSCOPIC GASTROSTOMY PLACEMENT

S Kim
1   Gastroenterology, Gachon University Gil Medical Center, Incheon, Korea, Republic of
,
HY Lee
1   Gastroenterology, Gachon University Gil Medical Center, Incheon, Korea, Republic of
,
YI Choi
1   Gastroenterology, Gachon University Gil Medical Center, Incheon, Korea, Republic of
,
JW Chung
1   Gastroenterology, Gachon University Gil Medical Center, Incheon, Korea, Republic of
,
JH Kim
1   Gastroenterology, Gachon University Gil Medical Center, Incheon, Korea, Republic of
,
EJ Kim
1   Gastroenterology, Gachon University Gil Medical Center, Incheon, Korea, Republic of
,
YJ Kim
1   Gastroenterology, Gachon University Gil Medical Center, Incheon, Korea, Republic of
,
KO Kim
1   Gastroenterology, Gachon University Gil Medical Center, Incheon, Korea, Republic of
,
KA Kwon
1   Gastroenterology, Gachon University Gil Medical Center, Incheon, Korea, Republic of
,
DK Park
1   Gastroenterology, Gachon University Gil Medical Center, Incheon, Korea, Republic of
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

 

Aims:

We aimed to assess the effects of CO2 insufflation with percutaneous endoscopic gastrostomy (PEG) insertion compared of room air.

Methods:

This study was a single center, prospective, randomized, double-blind study in Gachon University Gil Medical Center between June 2016 and November 2018. A total of 34 patients were enrolled. The primary outcome was pneumoperitoneum which was detected by the right decubitus X-ray. The secondary outcomes were abdominal distension and pain after PEG insertion, amount of sedatives and complication rates.

Results:

The baseline characteristics were similar between the two groups. The pneumoperitoneum was developed 0% (0/16) in CO2 group and 16.7%(3/18) in room air group, which was not statistically different. (P value = 0.230) There were no significant differences in abdominal distension and pain after PEG insertion, and amount of sedative between two groups. The complication such as oozing of PEG site and leakage of gastric juice not occur in CO2 groups, but occurred 16.7%(3/18) and 5.6%(1/18) in room air group, which were not statically significant.

Conclusions:

CO2 insufflation during PEG insertion has tendency to lower certain adverse events such as pneumoperitoneum, although not statistically significant. There were no significant differences in the clinical features and factors related procedure between CO2 group and room air group. It might be related to the small patient number. Further large study would be needed to clarify this issue.