Pneumoperitoneum after percutaneous endoscopic gastrostomy: A case report and review

Roberts, P. J.; Wrenn, Keith; Lundquist, S. Bjorn

doi:10.1016/j.jemermed.2004.08.012

Cited by 19 publications

(11 citation statements)

References 17 publications

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“…Pneumoperitoneum is a frequent finding post-PEG insertion. In the absence of symptoms, it should be left alone because it normally resolves within 48 h post-PEG insertion (26,33).…”

Section: Major Complicationsmentioning

confidence: 99%

Percutaneous Endoscopic Gastrostomy in Children

El‐Matary

2008

Canadian Journal of Gastroenterology

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Percutaneous endoscopic gastrostomy has been a valuable tool in nutritional rehabilitation since its inception in 1980. Although it was originally described in children, a large sector of the adult population is dependent on it for nutritional support. Percutaneous endoscopic gastrostomy tube insertion is generally a safe procedure. Nevertheless, variable incidence rates of complications have been reported. The present review highlights the up-to-date indications, contraindications and complications of percutaneous endoscopic gastrostomy in children, along with a discussion of issues that need further exploring through future research.

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“…Pneumoperitoneum is a frequent finding post-PEG insertion. In the absence of symptoms, it should be left alone because it normally resolves within 48 h post-PEG insertion (26,33).…”

Section: Major Complicationsmentioning

confidence: 99%

Percutaneous Endoscopic Gastrostomy in Children

El‐Matary

2008

Canadian Journal of Gastroenterology

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“…We did not encounter infectious complications, probably because the routine use of antibiotic prophylaxis is known to be effective in reducing the incidence of PEG‐site wound infection rates 9 . The development of pneumoperitoneum after PEG insertion is a relatively common and mostly benign occurrence 10 . It can be treated conservatively in asymptomatic patients, as in our case, but must be differentiated from a hollow viscus injury when in doubt.…”

Section: Discussionmentioning

confidence: 70%

“…9 The development of pneumoperitoneum after PEG insertion is a relatively common and mostly benign occurrence. 10 It can be treated conservatively in asymptomatic patients, as in our case, but must be differentiated from a hollow viscus injury when in doubt. In one series, with 26 infants weighing less than 3.5 kg, pneumoperitoneum requiring intervention developed in two (7.6%) infants.…”

Section: Discussionmentioning

confidence: 72%

Percutaneous endoscopic gastrostomy in small infants unable to swallow safely

Durakbaşa

Ozumut

Orhon

et al. 2020

Pediatrics International

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Background: Data about percutaneous endoscopic gastrostomy (PEG) insertions in small infants are limited, and most studies include older children. We aimed to evaluate the safety of PEG placement in infants weighing ≤5 kg together with their follow-up results. Methods: A retrospective evaluation was made of records between January 2005 and December 2019. Results: A total of 43 infants were ≤5 kg at the time of PEG insertion. The mean age was 5 AE 3 (19 days-16 months) months and the mean weight was 4.3 AE 0.6 (2.7-5.0) kg. The primary diagnoses were neurological disorders in 25, metabolic disorders in nine, cleft palates in four, muscular disorders in four, and a cardiac disorder in one. All procedures were completed successfully. A self-resolving pneumoperitoneum developed in one (2.3%). The tube was extruded in six (14%) patients postoperatively which required suture-approximation of the skin and subcuticular tissues. The tube was removed in four (9%) patients with achievement of oral feeds on the long-term. Eighteen (42%) died of primary diseases. The tubes were in situ for a median of 12.4 (17 days-73 months) months in these patients. A total of 20 (46.5%) patients are currently being followed up and their tubes are in situ for a median of 50.3 (4.7 month-9.8 years) months. Conclusions: Percutaneous endoscopic gastrostomy placement is safe in small infants with associated morbidities. Complications related to the procedure are within acceptable limits. The accidental extrusion of the tube was a special consideration in this patient group. The overall mortality was high because of underlying primary diseases.

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“…Although most cases of pneumoperitoneum require emergent surgical evaluation, there are also benign causes of pneumoperitoneum that must also be taken into consideration. This can be seen shortly after laparoscopic surgery or percutaneous endoscopic gastrostomy placement (12).…”

Section: Discussionmentioning

confidence: 99%

Radiographic Look-Alikes: Distinguishing Between Pneumoperitoneum and Pseudopneumoperitoneum

2010

The Journal of Emergency Medicine

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Pneumoperitoneum after percutaneous endoscopic gastrostomy: A case report and review

Cited by 19 publications

References 17 publications

Percutaneous Endoscopic Gastrostomy in Children

Percutaneous Endoscopic Gastrostomy in Children

Percutaneous endoscopic gastrostomy in small infants unable to swallow safely

Radiographic Look-Alikes: Distinguishing Between Pneumoperitoneum and Pseudopneumoperitoneum

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