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Small bowel perforation after incomplete removal of percutaneous endoscopic gastrostomy catheter

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Abstract

Percutaneous endoscopic gastrostomy (PEG) is a well-established technique for providing long-term nutritional support. The advantages and most frequent complications have been widely documented, but less is known about the danger of removing or replacing a PEG by cutting the device at skin level without endoscopic assistance to ensure the removal of the inner part. Laparotomy is often required in elderly and high-risk patients to relieve an intestinal obstruction or perforation. We describe a fatal case of small bowel perforation, resulting from the inability to remove an inner bumper.

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Authors and Affiliations

  1. Department of General Surgery 1, Morgagni Hospital, Piazzi Solieri 1, 47100 Forlì, Italy

    A. Lattuneddu, P. Morgagni & D. Garcea

  2. Clinical Nutrition Unit, Morgagni Hospital, Piazzi Solieri 1, 47100 Forli, Italy

    G. Benati & S. Delvecchio

Authors
  1. A. Lattuneddu
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  2. P. Morgagni
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  3. G. Benati
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  4. S. Delvecchio
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  5. D. Garcea
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Correspondence to A. Lattuneddu.

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Lattuneddu, A., Morgagni, P., Benati, G. et al. Small bowel perforation after incomplete removal of percutaneous endoscopic gastrostomy catheter . Surg Endosc 17, 2028–2031 (2003). https://doi.org/10.1007/s00464-003-4224-y

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  • DOI: https://doi.org/10.1007/s00464-003-4224-y

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