Dünndarmileus nach perkutaner endoskopischer Gastrostomie (PEG) bei Chilaiditi-Syndrom

Abstract

Small Bowel Obstruction after Percutaneous Endoscopic Gastrostomy for Chilaiditi’s Syndrome We are reporting about a 60-year-old patient with progressive amyotrophic lateral sclerosis and an unknown Chilaiditi’s syndrome who, after giving a percutaneous gastric tube, developed an ileus due to strangulation and a gastric volvolus and died as a result of aspiration pneumonia. Patients with Chilaiditi’s syndrome should be treated with a percutaneous gastric tube only during a hospital stay because perforation of the extended mesenteric root is possible. Tension of the percutaneous gastric tube during fixation can cause secondary malrotation. This again can lead to difficulties in gastric emptying with the danger of aspiration.