Peritonitis after percutaneous endoscopic gastrostomy and jejunostomy: where there is smoke, there may not be fire.
Extensive reviews have been published regarding complications arising from percutaneous enteral access and ways of managing them. However, few data are available regarding unnecessary clinical interventions resulting from misinterpretation of benign postprocedural findings. We present here three representative cases of negative surgical abdominal cavity explorations for presumed peritonitis after percutaneous endoscopic gastrojejunostomy and jejunostomy.
Faias
S
S
Digestive Disease Center, Medical University of South Carolina, Charleston, South Carolina 29425, USA. sandrafaias@hotmail.com
Buck
G
G
Delegge
M
M
D000328:Adult; D003951:Diagnostic Errors; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects*; D004750:Enteral Nutrition; D005260:Female; D005774:Gastrostomy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects; D007582:Jejunostomy / Q000009:adverse effects* / Q000379:methods; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis* / Q000209:etiology; D011027:Pneumoperitoneum / Q000209:etiology; D011677:Punctures