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[A patient with visceromegaly: risk factor for performing percutaneous endoscopic gastrostomy. A clinical case]
J M Moreno1, M J Galiano, P Urruzuno
1Unidades de Nutrición Clínica, Gastroenterología Infantil, Hospital 12 de Octubre, Madrid, España.
Nutricion Hospitalaria
|February 12, 2000
Abstract:
Percutaneous endoscopic gastrostomy is an easy and safe technique to provide an enteral access for patients needing long-term enteral nutrition. Minor complications may occur in 9% to 13% of patients. Life-threatening complications appear in 1-3% of cases. Perforation of a hollow viscus leading to peritonitis is a rare condition; hepatic perforation after placing a percutaneous endoscopic gastrostomy (PEG) has not been reported previously. In patients with massive visceromegaly an abdominal ultrasound may help in localizing the place of punction avoiding surrounding organs.