Misplacement of the PEG tube through the transverse colon, an uncommon but possible complication

Vidal, David Viso; Plaza, Francisco Jorquera

doi:10.17235/reed.2022.8501/2021

Cited by 2 publications

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Факторами, предрасполагающими к развитию интраоперационных осложнений, являются: тяжелое соматическое состояние больного до и во время операции, неправильное положение пациента, недостаточная диафаноскопия передней брюшной стенки, предшествующие хирургические вмешательства, повлекшие за собой нарушение нормальной анатомии пищевода и желудка, а также развитие гематомы в области гастростомы [3,9,18,19]. Перечисленные факторы повышают риски интраоперационных осложнений (до 2,5 % наблюдений), а именно: кровотечения, перфорации, аспирации.…”

Section: результаты и обсуждениеunclassified

Risk factors for adverse outcomes of percutaneous endoscopic gastrostomy

Zharikov

Gurtsiev²,

Samsonova

et al. 2023

jour

View full text Add to dashboard Cite

Introduction. Presently, percutaneous endoscopic gastrostomy is considered to be the operation of choice when long-term enteral feeding in dysphagia syndrome is required. The technique is characterized by low incidence of early and long-term complications due to low traumatic access and operation time. Aim of the work was to assess the risk predictors of percutaneous endoscopic gastrostomy complications and their significance for the postoperative period. Materials and methods. We searched publications and analyzed literature sources using PubMed and MedLine databases and Cochrane Library and elibrary.ru scientific libraries mainly for the last ten years. The search was performed using a set of key words: percutaneous endoscopic gastrostomy, dysphagia syndrome, postoperative complications, risk factors. Results and discussion. The leading and most studied predictors of early and long-term postoperative period complications after gastrostomy are hypoalbuminemia, uncompensated diabetes mellitus, thrombocytopenia, elevated levels of C-reactive protein, Charlson's comorbidity index (4 points or higher), antiaggregant and anticoagulant therapy, morphoconstitutional features of patients. Conclusion. Data analysis has shown that percutaneous endoscopic gastrostomy at high patient flow and gastropectomy supplementation with gastropexy is practically safe and effective if the selection criteria for the operation are observed taking into account the general condition, risk factors and exclusion of absolute contraindications.

show abstract

Section: результаты и обсуждениеunclassified

Risk factors for adverse outcomes of percutaneous endoscopic gastrostomy

Zharikov

Gurtsiev²,

Samsonova

et al. 2023

jour

View full text Add to dashboard Cite

show abstract

Malposition of Percutaneous Endoscopic Gastrostomy (PEG) Tube Through the Transverse Colon: A Novel Approach to Conservative Management

Blashinsky,

Calafell

2024

Cureus

View full text Add to dashboard Cite

Percutaneous endoscopic gastrostomy (PEG) is a common technique for enteral nutrition support. Complications range from skin injuries and leakage to more severe intraabdominal pathologies. This case report describes a patient with invasive right lateral pharyngeal wall squamous cell carcinoma who developed a gastrocolocutaneous fistula following PEG tube malpositioning in the transverse colon performed at an outside institution. Based on the patient’s comorbidities and the associated high-risk nature of the surgery, a transverse colectomy and partial gastrectomy to resect the malpositioned tube followed by a new PEG tube was deemed invasive and would likely have a poor clinical outcome. Instead, the surgeon performed a laparoscopic-assisted PEG tube insertion in another portion of the stomach. The fistulous tract of the original PEG tube was completely sealed and fell out one week following surgery. The patient tolerated feeds through the new PEG tube site. Gastrocolocutaneous fistulas are rare complications of PEG tube insertion with a poorly understood pathophysiology. Here, we analyze the root cause of this condition, steps to mitigate it, and a proposed novel surgical approach for its conservative management.

show abstract

Misplacement of the PEG tube through the transverse colon, an uncommon but possible complication

Cited by 2 publications

References 5 publications

Risk factors for adverse outcomes of percutaneous endoscopic gastrostomy

Risk factors for adverse outcomes of percutaneous endoscopic gastrostomy

Malposition of Percutaneous Endoscopic Gastrostomy (PEG) Tube Through the Transverse Colon: A Novel Approach to Conservative Management

Contact Info

Product

Resources

About