Rapid repair of percutaneous endoscopic gastrostomy tubes using three-dimensional printing: A case series

Q3 Medicine

Annals of 3D printed medicine Pub Date : 2023-02-01 DOI:10.1016/j.stlm.2022.100091

Kevin J. O'Sullivan , Aidan G. O'Sullivan , Tjaša Kermavnar , Paul McNally , Colum P. Dunne , Barry Linnane , Leonard W. O'Sullivan

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Abstract

Presented are four cases involving urgent interventions to repair PEG tube failures in PEG dependent patients. We report on the practical utility of 3D printed devices designed for contingency repair of pediatric PEG tubes when other options, including surgical approaches or manufacturer supplied repairs, were not possible. The patients were dependent on PEG for nutrition and/or medication, treated at the University Hospital Limerick or Children's Hospital Ireland – Crumlin, Ireland. Each were unsuitable for surgery. PEG tube fractures occurred in 4 children (2 female, 2 male; aged 6–15 years) with chronic complex medical conditions at 5-6 years dwell time. In each case novel sealing devices were created and customized to address fractured PEG tubes. The designs were 3D printed using biocompatible materials. The PEG tube fractures were effectively sealed with the 3D printed devices within 24 h, and tube potency was completely restored in one case for up to 205 days.

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三维打印快速修复经皮内镜胃造瘘管：一个病例系列

提出了四个病例涉及紧急干预修复PEG管失效的PEG依赖患者。我们报告了3D打印设备在其他选择(包括手术方法或制造商提供的修复)不可能时用于儿科PEG管应急修复的实际效用。患者在利默里克大学医院或爱尔兰克拉姆林儿童医院接受PEG营养和/或药物治疗。每个人都不适合做手术。4例儿童发生PEG管骨折(女2例，男2例;年龄6-15岁)患有慢性复杂疾病，居住时间5-6年。在每种情况下，新型密封装置都被创造出来并定制，以解决PEG管破裂的问题。这些设计是使用生物相容性材料3D打印的。3D打印装置在24小时内有效地密封了PEG管骨折，并在一个病例中完全恢复了长达205天的管效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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