Bizarre Early and Late Complications of Percutaneous Endoscopic Gastrostomy

Schächter, Pinhas; Finkelstein, Alex; Cohen, Oded

doi:10.1097/00004836-199907000-00026

Cited by 4 publications

(4 citation statements)

References 4 publications

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“…Various techniques are available for PEG tube insertion including endoscopic (using pull, 2 push 3 and direct introducer method 4 ) or under fluoroscopic guidance 5 . By using this technique, general anaesthesia and surgical wound‐related problems are avoided in friable and debilitated patients 6 …”

Section: Discussionmentioning

confidence: 99%

“…5 By using this technique, general anaesthesia and surgical wound-related problems are avoided in friable and debilitated patients. 6 Dysphagia is a common complication of stroke, occurring in up to 45% of those admitted to hospital,7 and is the commonest indication for PEG tube feeding, because it improves the rehabilitation potential of these patients. 8 Percutaneous endoscopic feeding devices often become non-functional because of wear and tear, blockage or displacement and require replacing.…”

Section: Discussionmentioning

confidence: 99%

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Percutaneous Endoscopic Gastroscopy Tube Migration: A Rare Cause of a Common Surgical Problem

Hussien

Fawzy

Carey

2001

Int J Clinical Practice

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SUMMARYPercutaneous endoscopic gastroscopy (PEG) is now the preferred method for long‐term enteral nutrition for patients with inadequate oral intake. It is usually replaced by a Foley catheter when it becomes non‐functional because of blockage or wear and tear. PEG tube migration is an unusual complication which may not be noticed by the patient or the medical staff and may present as delayed small bowel obstruction. We report on a patient who developed such a complication and the missing PEG tube was replaced by a Foley catheter when it was thought the original tube had fallen out. The use of catheters with an external stop device is recommended to prevent this rare complication.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Percutaneous Endoscopic Gastroscopy Tube Migration: A Rare Cause of a Common Surgical Problem

Hussien

Fawzy

Carey

2001

Int J Clinical Practice

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“…Since the advent of percutaneous endoscopic gastrostomy (PEG) tubes in 1980, they have become the device of choice for providing long-term enteral nutrition. 1 Approximately 75,000 PEG procedures are performed annually in the United States alone. 2 Despite their overall safety, a number of complications can occur after PEG placement.…”

mentioning

confidence: 99%

Management of a Traumatic Gastric Ulcer With a Low‐Profile Gastrostomy Tube

Seidner

Ghanta

2005

Nut in Clin Prac

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Since the advent of percutaneous endoscopic gastrostomy (PEG) tubes in 1980, they have become the device of choice for providing long-term enteral nutrition. Despite their overall safety, a number of complications can occur after PEG placement. Bleeding is usually a minor complication associated with PEG placement that occurs soon after the procedure and is most often caused by puncture of an abdominal wall vessel. More severe bleeding can occur when a branch of one of the gastric arteries is punctured. There are only a few case reports of traumatic gastric ulceration secondary to the internal bolster of a PEG. The internal bolsters are either balloons or dome shaped, and are 1.5-2.0 cm in height. We report a case in which a patient developed hemorrhage from a gastric ulcer induced by a balloon-type PEG tube that was resolved only after replacement with a tube manufactured with a low-profile internal bolster that was only 0.3 mm in height. The protruding tip of a balloon-type gastrostomy tube was believed to have caused traumatic injury to the gastric mucosa in our patient, causing ulceration. Usually, removal of the tube and placement in a different location may solve the problem. However, we believe that the PEG tube fashioned with a low-profile internal bumper is a safer option.

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“…115,152 On rare occasions, patients have developed necrotizing fasciitis from PEG site infection, which has a high mortality (75%). [153][154][155] Peritonitis occurred in 0.6% of the patients; it can be caused by perforation of the GI tract with leakage and contamination during or after the procedure or from early dislodgment of the PEG tube before the gastrocutaneous tract has matured.…”

mentioning

confidence: 99%

Ins and Outs of Enteral Access: Part 2—Long Term Access—Esophagostomy and Gastrostomy

Vanek

2003

Nut in Clin Prac

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Access techniques for long-term enteral nutrition (over 4 to 6 weeks) includes cervical esophagostomy and pharyngostomy, gastrostomy, and jejunostomy. Cervical esophagostomy and pharyngostomy are rarely used since the advent of better long-term enteral access techniques that are easier to care for and have fewer complications; they are briefly reviewed only for historical completeness and to condemn their use. The different techniques of gastrostomy tube insertion and their indications, contraindications, advantages, and disadvantages are discussed. Part III (to be published in a later issue) of this series will review feeding jejunostomy.

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Bizarre Early and Late Complications of Percutaneous Endoscopic Gastrostomy

Cited by 4 publications

References 4 publications

Percutaneous Endoscopic Gastroscopy Tube Migration: A Rare Cause of a Common Surgical Problem

Percutaneous Endoscopic Gastroscopy Tube Migration: A Rare Cause of a Common Surgical Problem

Management of a Traumatic Gastric Ulcer With a Low‐Profile Gastrostomy Tube

Ins and Outs of Enteral Access: Part 2—Long Term Access—Esophagostomy and Gastrostomy

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