[Distal perforation of the small intestine by PEG endpiece in an inguinal hernia patient].
The PEG-ileus is a complication of the intestinal migration of the "bumper". The resulting obstruction or perforation is usually located in the ileum. Patients with hernias, who have a possible or known intrinsic or extrinsic stenosis or who have been X-rayed in the area of the small pelvis, are not suitable for the application of Korula's "migration"-technique with the scheduled intestinal elimination of the "bumper". "Bumpers" that are allowed to remain in the stomach for a long time lose their elasticity and frequently cause a PEG-ileus. When choosing the type of gastrostomy, we should consider which technique could be used in the case of a change or a removal of the material.
Fusetti
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Servizio di Chirurgia, Ospedale, La Carità, Locarno.
Reilly
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I
Biegger
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P
D000368:Aged; D000369:Aged, 80 and over; D002408:Catheters, Indwelling; D004750:Enteral Nutrition / Q000295:instrumentation*; D017809:Fatal Outcome; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000601:surgery*; D006552:Hernia, Inguinal / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000601:surgery*; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011859:Radiography; D013526:Surgical Mesh