Skin level division of percutaneous endoscopic gastrostomy without endoscopy retrieval: a hazardous procedure.
Percutaneous endoscopic gastrostomy (PEG) has become the method of choice for long-term enteral access in the pediatric population. Since its introduction, several common complications have been described. Less well known is the danger of removing or replacing a PEG by cutting the device at skin level without endoscopic assistance to ensure the complete removal of all parts. The aim of the present work is to describe a patient in whom gastrostomy parts were retained after PEG removal, causing bowel obstruction and perforation.
Steinberg
R M
RM
Department of Pediatric Surgery, Schneider Children's Medical Center of Israel, Petah Tiqva, Israel. rantamar@netvision.net.il
Madhala
O
O
Freud
E
E
Shamir
R
R
Shwartz
M
M
Zer
M
M
D002675:Child, Preschool; D020878:Device Removal / Q000009:adverse effects* / Q000379:methods; D005547:Foreign Bodies; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007082:Ileum; D007415:Intestinal Obstruction / Q000209:etiology*; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male