Reviewer's report
Title:Assessment of safety and feasibility of a new technical variant of
gastropexy for percutaneous endoscopic gastrostomy: an experience with 453
cases
Version: 1Date:27 February 2009
Reviewer: Arno J Dormann
Reviewer's report:
Dear Editor,
this article is a well written paper about PEG procedure with gastropexy.
The technical approach is well described and new.
The technical success rate is high and complication rate is low.
Local infection are on the same level and lower as described before.
I agree that by using introducer technique in all patients an anbiotic prophylaxis
might be not mandatory.
The authors should discuss the economic effect of this new approach because
the new systems are normally much more expensive than introducer PEG
systems (Germany 4 times more).
The only disadantage of all introducer systems is that they are not good in
patients with high BMI.
For the future the authors should discuss the option of a peal-off sheath instead
of their trocar system which does not seem to be very comfortable and easy to
use. Then the need of the dissection with scissors might be avoided.
They should fill in the total procedure time into the table and the way of intubation
during endoscopy.
They should state if their system could be used in patients which can not be
evaluated by endoscopy.
Level of interest: An article of outstanding merit and interest in its field
Quality of written English: Acceptable
Statistical review: No, the manuscript does not need to be seen by a
statistician.
Reviewer's report
Title:Assessment of safety and feasibility of a new technical variant of
gastropexy for percutaneous endoscopic gastrostomy: an experience with 453
cases
Version: 1Date:27 February 2009
Reviewer: Arno J Dormann
Reviewer's report:
Dear Editor,
this article is a well written paper about PEG procedure with gastropexy.
The technical approach is well described and new.
The technical success rate is high and complication rate is low.
Local infection are on the same level and lower as described before.
I agree that by using introducer technique in all patients an anbiotic prophylaxis
might be not mandatory.
The authors should discuss the economic effect of this new approach because
the new systems are normally much more expensive than introducer PEG
systems (Germany 4 times more).
The only disadantage of all introducer systems is that they are not good in
patients with high BMI.
For the future the authors should discuss the option of a peal-off sheath instead
of their trocar system which does not seem to be very comfortable and easy to
use. Then the need of the dissection with scissors might be avoided.
They should fill in the total procedure time into the table and the way of intubation
during endoscopy.
They should state if their system could be used in patients which can not be
evaluated by endoscopy.
Level of interest: An article of outstanding merit and interest in its field
Quality of written English: Acceptable
Statistical review: No, the manuscript does not need to be seen by a
statistician.
Please review this paper.
user
Reviewer's report
Title:Assessment of safety and feasibility of a new technical variant of
gastropexy for percutaneous endoscopic gastrostomy: an experience with 453
cases
Version: 1Date:27 February 2009
Reviewer: Arno J Dormann
Reviewer's report:
Dear Editor,
this article is a well written paper about PEG procedure with gastropexy.
The technical approach is well described and new.
The technical success rate is high and complication rate is low.
Local infection are on the same level and lower as described before.
I agree that by using introducer technique in all patients an anbiotic prophylaxis
might be not mandatory.
The authors should discuss the economic effect of this new approach because
the new systems are normally much more expensive than introducer PEG
systems (Germany 4 times more).
The only disadantage of all introducer systems is that they are not good in
patients with high BMI.
For the future the authors should discuss the option of a peal-off sheath instead
of their trocar system which does not seem to be very comfortable and easy to
use. Then the need of the dissection with scissors might be avoided.
They should fill in the total procedure time into the table and the way of intubation
during endoscopy.
They should state if their system could be used in patients which can not be
evaluated by endoscopy.
Level of interest: An article of outstanding merit and interest in its field
Quality of written English: Acceptable
Statistical review: No, the manuscript does not need to be seen by a
statistician.
assistant