title: [Posterior gastric wall ulceration as a complication of percutaneous endoscopic gastrostomy. A report of 2 cases].
abstract: Two cases of posterior gastric wall ulceration are presented as a rare complication of percutaneous endoscopic gastrostomy (PEG). Percutaneous endoscopic gastrostomy (Flocare, Nutricia) was performed in two boys (aged 2 and 19 months), who were unable to take necessary nutrients by mouth due to neurological disorders concerning swallowing and deficiency of body mass. This status does not allow to cover liquid and caloric requirement. In one case bleeding occurred 12 days after PEG insertion, in the second--6 weeks after PEG insertion. Both patients were treated with parenteral nutrition and omeprazol intravenously, with good result. The described complications are rare, however, the proton pomp inhibitors application in prevention should be considered.
authors.affiliation: Katedra i Klinika Pediatrii, Gastroenterologii, Hepatologii i Zywienia Dzieci, Gdański Uniwersytet Medyczny, ul. Nowe Ogrody 1/6, 80-803 Gdańsk. aszar@amg.gda.pl
authors.forename: Adam
authors.initials: A
authors.lastname: Szarszewski
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Szlagatys-Sidorkiewicz
authors.forename: Anna
authors.initials: A
authors.lastname: Borkowska
authors.forename: Piotr
authors.initials: P
authors.lastname: Landowski
authors.forename: Wojciech
authors.initials: W
authors.lastname: Radys
mesh_terms: D004750:Enteral Nutrition / Q000009:adverse effects; D019959:Feeding and Eating Disorders of Childhood / Q000209:etiology / Q000628:therapy*; D005773:Gastroscopy / Q000009:adverse effects*; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D007223:Infant; D007262:Infusions, Intravenous; D008297:Male; D009422:Nervous System Diseases / Q000150:complications; D009853:Omeprazole / Q000008:administration & dosage; D010288:Parenteral Nutrition; D013276:Stomach Ulcer / Q000175:diagnosis / Q000209:etiology*
chemical_list: D009853:Omeprazole