title: [A patient with visceromegaly: risk factor for performing percutaneous endoscopic gastrostomy. A clinical case].
abstract: 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.
authors.affiliation: Unidades de Nutrición Clínica, Gastroenterología Infantil, Hospital 12 de Octubre, Madrid, España.
authors.forename: J M
authors.initials: JM
authors.lastname: Moreno
authors.forename: M J
authors.initials: MJ
authors.lastname: Galiano
authors.forename: P
authors.initials: P
authors.lastname: Urruzuno
authors.forename: M
authors.initials: M
authors.lastname: Benavent
authors.forename: M
authors.initials: M
authors.lastname: Miralles
authors.forename: M
authors.initials: M
authors.lastname: León-Sanz
mesh_terms: 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