scholarly journals Prevention and management of major complications in percutaneous endoscopic gastrostomy

2021 ◽  
Vol 8 (1) ◽  
pp. e000628
Author(s):  
Kurt Boeykens ◽  
Ivo Duysburgh
Keyword(s):  
Clinical Practice ◽  
Abdominal Wall ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Early Recognition ◽  
Endoscopic Technique ◽  
Abdominal Wound ◽  
Review Of The Literature ◽  
Endoscopic Gastrostomy ◽  
Major Complications ◽  
Life Threatening

BackgroundPercutaneousendoscopic gastrostomy is a commonly used endoscopic technique where a tube isplaced through the abdominal wall mainly to administer fluids, drugs and/orenteral nutrition. Several placement techniques are described in the literaturewith the ‘pull’ technique (Ponsky-Gardener) as the most popular one.Independent of the method used, placement includes a ‘blind’ perforation of thestomach through a small acute surgical abdominal wound. It is a generally safetechnique with only few major complications. Nevertheless these complicationscan be sometimes life-threatening or generate serious morbidity.MethodAnarrative review of the literature of major complications in percutaneousendoscopic gastrostomy.ResultsThis review was written from a clinical viewpoint focussing on prevention andmanagement of major complications and documentedscientific evidence with real cases from more than 20 years of clinical practice.ConclusionsMajorcomplications are rare but prevention, early recognition and popper management areimportant.

Abdominal wall metastasis following percutaneous endoscopic gastrostomy

1995 ◽  
Vol 3 (5) ◽  
pp. 313-316 ◽  
Author(s):  
G. Becker ◽  
C. F. Hess ◽  
K. E. Grund ◽  
W. Hoffmann ◽  
M. Bamberg
Keyword(s):  
Abdominal Wall ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Endoscopic Gastrostomy ◽  
Abdominal Wall Metastasis

Mo1215 Does Poor Abdominal Wall Transillumination Predict Failed Placement of Percutaneous Endoscopic Gastrostomy Tubes?

2017 ◽  
Vol 85 (5) ◽  
pp. AB465
Author(s):  
Tomas DaVee ◽  
Aman Deep ◽  
Samreen Khuwaja ◽  
Selvi Thirumurthi ◽  
Graciela M. Nogueras-González ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Endoscopic Gastrostomy ◽  
Gastrostomy Tubes

scholarly journals Duodenal Pressure Necrosis in a Child Caused by a Migrated Percutaneous Endoscopic Gastrostomy

2020 ◽  
Vol 63 (2) ◽  
pp. 79-81
Author(s):  
Jan Melek ◽  
Markéta Štanclová ◽  
Radek Štichhauer ◽  
Pavel Rozsíval ◽  
Jan Kopřiva ◽  
...  
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Food Refusal ◽  
Invasive Procedures ◽  
X Ray ◽  
Endoscopic Gastrostomy ◽  
Tertiary Centre ◽  
Pressure Necrosis ◽  
Threatening Condition ◽  
Life Threatening ◽  
Centre Hospital

A two-year-old girl with two weeks of abdominal pain, vomiting, and food refusal, ten months after percutaneous endoscopic gastrostomy insertion because of inadequate peroral intake, was admitted to a tertiary centre hospital. On admission, the extracorporeal part of the gastrostomy was much shortened. X-ray examination revealed migration of the end of the gastrostomy tube with a left-shifted course of the tube through the duodenum. Gastroscopy and subsequently laparotomy were performed. A longitudinal pressure necrosis was identified under the tube, with two perforations in the duodenojejunal region. Ten centimeters of that duodenojejunal region were resected, and end-to-end anastomosis was made. The migration of the gastrostomy was probably caused by insufficient care by the parents. Pathophysiologically, the tube caused the pressure necrosis in the duodenojejunal area; this was supported by histology. This is a hitherto undescribed complication of a percutaneous endoscopic gastrostomy, showing that migration of the gastrostomy to the deeper part of the small bowel can lead to pressure necrosis, a potentially life-threatening condition in children which cannot be treated without invasive procedures.

scholarly journals The relevance of the early terms of the formation of percutaneous endoscopic gastrostomy after a stroke complicated by severe neurogenic oropharyngeal dysphagia (review of the literature)

2019 ◽  
Vol 178 (3) ◽  
pp. 64-68
Author(s):  
K. V. Golubev ◽  
E. E. Topuzov ◽  
V. V. Oleynik ◽  
S. V. Gorchakov
Keyword(s):  
Quality Of Life ◽  
Gastroesophageal Reflux ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Enteral Feeding ◽  
Nasogastric Tube ◽  
Oropharyngeal Dysphagia ◽  
Review Of The Literature ◽  
Subsequent Formation ◽  
Endoscopic Gastrostomy

Neurogenic oropharyngeal dysphagia (NOD) was a frequent complication after a stroke, determining the further prognosis and quality of life, causing a number of serious complications. Patients with severe NOD was recommended enteral feeding through the nasogastric tube (NGT) with the subsequent formation of a percutaneous endoscopic gastrostomy (PEG). Prolonged use of NGT had its own complications – sinusitis, gastroesophageal reflux, aspiration pneumonia, etc., and therefore it should be limited in time. In various recommendations, the length of terms before the formation of the PEG remained controversial. The analysis of modern tactics of PEG in patients after severely developed NOD was performed on the basis of literature data.

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