[A patient with visceromegaly: risk factor for performing percutaneous endoscopic gastrostomy. A clinical case].
Percutaneous endoscopic gastrostomy is an easy and safe technique to provide an enteral access for patients needing long-term enteral nutrition. Minor complications may occur in 9% to 13% of patients. Life-threatening complications appear in 1-3% of cases. Perforation of a hollow viscus leading to peritonitis is a rare condition; hepatic perforation after placing a percutaneous endoscopic gastrostomy (PEG) has not been reported previously. In patients with massive visceromegaly an abdominal ultrasound may help in localizing the place of punction avoiding surrounding organs.
Moreno
J M
JM
Unidades de Nutrición Clínica, Gastroenterología Infantil, Hospital 12 de Octubre, Madrid, España.
Galiano
M J
MJ
Urruzuno
P
P
Benavent
M
M
Miralles
M
M
León-Sanz
M
M
D000293:Adolescent; D016099:Endoscopy, Gastrointestinal; D004750:Enteral Nutrition; D005774:Gastrostomy; D006008:Glycogen Storage Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D012307:Risk Factors; D014463:Ultrasonography