At the border between endoscopy and surgery. A review of clinical cases of complications after endoscopic gastrostomy.

V Rusakov; M Chystiak; I Beskrovnyi

doi:10.31636/prmd.v8i1.3

Authors

V Rusakov Odesa, Odrex Medical House
M Chystiak Odesa, Odrex Medical House
I Beskrovnyi Odesa, Odrex Medical House

DOI:

https://doi.org/10.31636/prmd.v8i1.3

Keywords:

PEG, gastrotomy, complications, peritonitis, laparoscopy, gastrostomy tube, endoscopy, surgery, multidisciplinary approach

Abstract

Endoscopic gastrostomy (Percutaneous Endoscopic Gastrostomy, PEG) is a widely accepted method of providing enteral nutrition in patients who cannot independently consume food orally. Despite the advantages of this method, serious complications may arise, requiring surgical intervention. This review presents an analysis of three clinical cases of PEG complications in patients with severe comorbidities. The treatment strategy and the features of a multidisciplinary approach are discussed.

Downloads

Download data is not yet available.

References

1. Gauderer M.W.L., Ponsky J.L., Izant R.J. Gastrostomy без лапаротомії: техніка перкутанної ендоскопії. J Pediatr Surg. 1980;15(6):872–875.

2. Nicholson F.B., Korman M.G., Richardson M.A. Percutaneous endoscopic gastrostomy: a review of indications, complications and outcome. J Gastroenterol Hepatol. 2000;15(1):21–25.

3. Blomberg J., Lagergren J., Martin L., Mattsson F. Complications after percutaneous endoscopic gastrostomy in a prospective study. Scand J Gastroenterol. 2012;47(6):737–742.

4. Naik A.D., Concato J., Hynes D.M., Gross C.P. PEG tube placement in patients with advanced dementia: an evidence-based approach. J Gen Intern Med. 2006;21(9):973–979.

5. Rahnemai-Azar A.A., Rahnemaiazar A.A., Naghshizadian R., et al. Percutaneous endoscopic gastrostomy: indications, technique, complications and management. World J Gastroenterol. 2014;20(24):7739–7751.

6. Strijbos D., Keszthelyi D., Bogie R.M.M., et al. High complication rate after PEG in patients with neurodegenerative disease. United European Gastroenterol J. 2021;9(2):206–213.

7. Schrag S.P., Sharma R., Jaik N.P., et al. Complications related to percutaneous endoscopic gastrostomy (PEG) tubes. A comprehensive clinical review. Gastroenterol Hepatol (N Y). 2007;3(12):816–828.

8. Dwolatzky T., Berezovski S., Friedmann R., et al. Complications of PEG tubes in elderly patients. Isr Med Assoc J. 2001;3(5):358–360.

9. Marik P.E., Zaloga G.P. Enteral nutrition in critically ill patients: a review of the literature. Intensive Care Med. 2001;27(11):1664–1670.

10. Gomes C.A., Andriolo R.B., Bennett C., Lustosa S.A., Matos D., Waisberg D.R., Waisberg J. Percutaneous endoscopic gastrostomy versus nasogastric tube feeding for adults with swallowing disturbances. Cochrane Database Syst Rev. 2015;5:CD008096.

11. Mark H DeLegge, MD, FACG, AGAF, John R Saltzman, MD, FACP, FACG, FASGE, AGAF David Seres, MD — Gastrostomy tubes: Complications and their management.