title: Skin level division of percutaneous endoscopic gastrostomy without endoscopy retrieval: a hazardous procedure.
abstract: 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.
authors.affiliation: Department of Pediatric Surgery, Schneider Children's Medical Center of Israel, Petah Tiqva, Israel. rantamar@netvision.net.il
authors.forename: R M
authors.initials: RM
authors.lastname: Steinberg
authors.forename: O
authors.initials: O
authors.lastname: Madhala
authors.forename: E
authors.initials: E
authors.lastname: Freud
authors.forename: R
authors.initials: R
authors.lastname: Shamir
authors.forename: M
authors.initials: M
authors.lastname: Shwartz
authors.forename: M
authors.initials: M
authors.lastname: Zer
mesh_terms: 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