Travis F. Wiggins

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OBJECTIVES Multiple techniques for endoscopic nasojejunal tube (NJT) placement exist. However, poor experience with these techniques has limited more routine practice of NJT placement for many endoscopists. We evaluated endoscopic NJT placement with a new stiff jejunal (J)-tube method (push technique). METHODS The GI Tract database at the Medical(More)
During the past 2 decades, percutaneous endoscopic gastrostomy (PEG) has become the preferred modality for providing long-term enteral nutrition for patients who are unable or unwilling to maintain sufficient oral intake [1, 2]. Several large studies have demonstrated the safety and efficacy of PEG placement [3–6]. Regardless of the method used, PEG(More)
BACKGROUND Percutaneous endoscopic feeding tube placement is generally safe and effective for establishing enteral access. In certain subpopulations, such as obese patients, substantial data are limited. This study evaluates the success rate and potential for late complications with placement of feeding tubes in obese patients. METHODS The Medical(More)
Endoscopic procedures are common and sedation is frequently used to minimize anxiety and discomfort, reduce the potential for physical injury during the procedure, and improve overall patient tolerability and satisfaction. In this article, the authors review the variety of options for sedation and analgesia available to the gastroenterologist or surgical(More)
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