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World J Clin Cases. Sep 6, 2026; 14(25): 124535
Published online Sep 6, 2026. doi: 10.12998/wjcc.124535
Published online Sep 6, 2026. doi: 10.12998/wjcc.124535
Monitored anesthesia care combined with thoracic paravertebral block for percutaneous endoscopic gastrostomy: A case report
Rui-Xi Tan, Yi-Ding Zuo, Yan-Hua Qiu, Department of Anesthesiology, Sichuan University, Xiamen 361000, Fujian Province, China
Hai-Bei Liu, Yan-Hua Qiu, Department of Anesthesiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China
Co-first authors: Rui-Xi Tan and Hai-Bei Liu.
Author contributions: Tan RX and Liu HB contributed to manuscript writing and editing; Tan RX, Liu HB, and Zuo YD contributed to data collection; Qiu YH contributed to conceptualization and supervision; and all authors have read and approved the final manuscript.
AI contribution statement: AI tools, specifically Deepseek, were used solely for language polishing and formatting assistance. No AI tool was used to generate research data, interpret results, or formulate conclusions. All AI-assisted content was critically reviewed and revised by the authors, who take full responsibility for the accuracy, originality, and integrity of the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Yan-Hua Qiu, MD, PhD, Department of Anesthesiology, Sichuan University, No. 17 Section 3, Renmin South Road, Yulin Subdistrict, Wuhou District, Chengdu 610041, Sichuan Province, China. 1781585803@qq.com
Received: June 23, 2026
Revised: July 24, 2026
Accepted: August 20, 2026
Published online: September 6, 2026
Processing time: 77 Days and 21.7 Hours
Revised: July 24, 2026
Accepted: August 20, 2026
Published online: September 6, 2026
Processing time: 77 Days and 21.7 Hours
Core Tip
Core Tip: This case is the first to describe the use of monitored anesthesia care combined with thoracic paravertebral block for percutaneous endoscopic gastrostomy in a patient with concurrent esophageal and tracheal stents. The technique avoided endotracheal intubation, minimized stent displacement risk, and provided adequate anesthesia with stable hemodynamics and fast recovery.