Acute presentation of transverse colon injury following percutaneous endoscopic gastrostomy tube placement: case report and review of current management.
We describe a case of a patient who had a percutaneous endoscopic gastrostomy (PEG) tube placed for enteral access. The patient's medical history was remarkable for chronic malnutrition, coronary artery disease, coronary bypass surgery, and severe esophageal dysmotility. We discuss the patient&'s course through treatment and we review the management options for patients that sustain colonic injury related to PEG placement. We conclude that colonic injury can be difficult to diagnose in the acute setting and that diagnosis may be facilitated by abdominal computerized tomographic (CT) scanning.
Maccabee
D L
DL
Department of Surgery, University of Washington School of Medicine, Puget Sound Veterans Affairs Health Care System, Seattle Division, 1660 S. Columbian Way, Seattle, WA 98108-1597, USA.
Dominitz
J A
JA
Lee
S W
SW
Billingsley
K G
KG
D000208:Acute Disease; D000368:Aged; D000714:Anastomosis, Surgical; D003106:Colon / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D016145:Endoscopy, Digestive System; D004750:Enteral Nutrition; D005471:Fluoroscopy; D005773:Gastroscopy / Q000009:adverse effects*; D005774:Gastrostomy; D006801:Humans; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D008297:Male; D014057:Tomography, X-Ray Computed