Abstract
Background
Percutaneous endoscopic gastrostomy (PEG) using the direct method is generally indicated for cancer patients. However, there are little available data about peritonitis related to this method. The aim of this retrospective analysis was to assess peritonitis related to PEG using the direct method in patients with cancer.
Methods
We assessed the prevalence of peritonitis and the relationship between peritonitis and patients’ backgrounds, as well as the clinical course after peritonitis.
Results
Between December 2008 and December 2011, peritonitis was found in 9 (2.1 %) of 421 patients. Of the 9 patients with peritonitis, 4 had received PEG prior to chemoradiotherapy. Emergency surgical drainage was required in 1 patient, and the remaining 8 recovered with conservative treatment. Peritonitis occurred within 8 days of PEG for 8 of the 9 patients and occurred within 2 days of suture removal for 4 of the 9 patients.
Conclusion
Peritonitis related to PEG using the direct method was less frequent for cancer patients. Peritonitis tended to occur within a few days after removal of securing suture and in patients with palliative stage.
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Disclosures
Shozo Osera, Tomonori Yano, Tomoyuki Odagaki, Yasuhiro Oono, Hiroaki Ikematsu, Atsushi Ohtsu, and Kazuhiro Kaneko have no conflicts of interest or financial ties to disclose.
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Osera, S., Yano, T., Odagaki, T. et al. Peritonitis related to percutaneous endoscopic gastrostomy using the direct method for cancer patients. Surg Endosc 29, 2941–2946 (2015). https://doi.org/10.1007/s00464-014-4026-4
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DOI: https://doi.org/10.1007/s00464-014-4026-4