Percutaneous Endoscopic Gastrostomy Infection: 10% Povidone Iodine Miracle

Abstract

Gastrostomy is the procedure of inserting a tube through the abdominal wall into the stomach in order to provide nutrition in cases where gastrointestinal system functions are normal but oral intake is not sufficient and enteral nutrition is predicted to take more than 4-6 weeks. Gastrostomy was first introduced in 1980. Although minor complications such as peristomal infection and infiltration, pneumoperitoneum, gastrointestinal bleeding and ulceration may be seen due to gastrostomy; Major complications such as necrotizing fasciitis, colocutaneous fistula and aspiration may also occur. In the literature, 1–4% minor and 8–30% important results related to gastrostomy are reported. Peristomal, which is one of the gastrostomy minor examinations, can already be treated with close and good care. In our case report, infections that may occur at the gastrostomy insertion site were reported, possible causes were discussed, a case with a diagnosed with peristomal infection and treated with povidone iodine solution (baticone/betadine) was presented, and the literature on the subject was compiled.