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PEG ileus

A preventable complication

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Abstract

Percutaneous endoscopic gastrostomy (PEG) tube placement is an established procedure in the nutritional management of patients. There are numerous reports in the literature describing the techniques for placing PEG tubes. However, there are few reports that discuss the proper methods for removing these devices and the complications that may result from incorrectly removing a PEG tube.

An increasing number of patients with PEG tubes are being cared for by individuals who are not familiar with these devices and their proper method of removal. The use of an incorrect method to remove a PEG tube may result in significant morbidity to the patient.

We report a case of bowel obstruction resulting from the incorrect removal of a PEG tube that required laparotomy.

To prevent similar complications, PEG tubes should be removed using the appropriate method by individuals familiar with the device.

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References

  1. Bakaleinik M (1989) Foreign bodies of the gastrointestinal tract, surgical considerations. Military Med 154: 11–14

    Google Scholar 

  2. Gauderer MWL, Ponsky JL, and Izant RJ (1980) Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg 15: 872–875

    Google Scholar 

  3. Gracia C, Frey C, Bodai B (1984) Diagnosis and management of ingested foreign bodies: a ten year experience. Ann Emerg Med 13: 30–34

    Google Scholar 

  4. Hamilton JK, Polter DE (1989) Foreign bodies in the gut. In: Scleisenger MH, Fordtran JS (eds) Gastrointestinal disease, pathophysiology, diagnosis, management. WB Saunders, Philadelphia pp 210–215

    Google Scholar 

  5. Kasahara Y, Umemura H, Shiraha S, Kuyama T, Sakata K, Kubota H (1980) Gallstone ileus. Review of 112 patients in the Japanese literature. Am J Surg 140: 437–440

    Google Scholar 

  6. Korula J, Harma C (1991) A simple and inexpensive method of removal or replacement of gastrostomy tubes. JAMA 265: 1426–1428

    Google Scholar 

  7. McCaffery T, Lilly J (1975) The management of foreign affairs of the GI tract. Dig Dis 20: 121–126

    Google Scholar 

  8. Ponsky JL (1989) Percutaneous endoscopic stomas. Surg Clin North Am 69: 1227–1236

    Google Scholar 

  9. Russell TR, Brotman M, Norris F (1984) Percutaneous gastrostomy: a new simplified and cost-effective technique. Am J Surg 148: 132–137

    Google Scholar 

  10. Stern JS (1986) Comparison of percutaneous endoscopic gastrostomy with surgical gastrostomy at a community hospital. Am J Gastroenterol 81: 1171–1173

    Google Scholar 

  11. Tanker MS, Scheinfeldt BD, Steerman PH, Goldstein M, Robinson G, Levine GM (1986) A prospective randomized study comparing surgical gastrostomy and percutaneous gastrostomy [abstract]. Gastrointest Endosc 32: 144

    Google Scholar 

  12. Waxman I, Al-Kawas F, Bass B, Glouderman M (1991) PEG Ileus, a new cause of small bowel obstruction. Dig Dis Sci 36: 251–254

    Google Scholar 

  13. Weissberg D (1991) Foreign bodies in the gastrointestinal tract. South African J Surg 29: 150–153

    Google Scholar 

  14. Wilson WCM, Zenone EA, Spector H (1990) Small intestinal perforation following replacement of a percutaneous endoscopic gastrostomy tube. Gastrointest Endosc 36: 62–63

    Google Scholar 

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Mutabagani, K.H., Townsend, M.C. & Arnold, M.W. PEG ileus. Surg Endosc 8, 694–697 (1994). https://doi.org/10.1007/BF00678570

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  • DOI: https://doi.org/10.1007/BF00678570

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