Complications after percutaneous endoscopic gastrostomy removal.
We report two cases of complications after percutaneous endoscopic gastrostomy (PEG) removal. The first was persistence of a gastrocutaneous fistula that required operative closure. The second patient developed pneumoperitoneum after an attack of vomiting 3 weeks after PEG removal. Laparotomy showed separation of the stomach from the posterior abdominal wall, with peritonitis. These cases highlight the need for careful monitoring of patients even after tube removal.
Bender
J S
JS
Department of Surgery, Wayne State University, Detroit, Michigan.
Levison
M A
MA
D000328:Adult; D004750:Enteral Nutrition / Q000009:adverse effects*; D005260:Female; D005747:Gastric Fistula / Q000209:etiology*; D005773:Gastroscopy / Q000009:adverse effects*; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011027:Pneumoperitoneum / Q000209:etiology*