Related Experiment Video
Updated: Aug 15, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Skin level division of percutaneous endoscopic gastrostomy without endoscopy retrieval: a hazardous procedure
R M Steinberg1, O Madhala, E Freud
1Department of Pediatric Surgery, Schneider Children's Medical Center of Israel, Petah Tiqva, Israel. rantamar@netvision.net.il
Abstract:
Percutaneous endoscopic gastrostomy (PEG) has become the method of choice for long-term enteral access in the pediatric population. Since its introduction, several common complications have been described. Less well known is the danger of removing or replacing a PEG by cutting the device at skin level without endoscopic assistance to ensure the complete removal of all parts. The aim of the present work is to describe a patient in whom gastrostomy parts were retained after PEG removal, causing bowel obstruction and perforation.
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