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Updated: Aug 26, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
Perforation of an ileostomy by a retained percutaneous endoscopic gastrostomy (PEG) tube bumper
1Department of Surgery, The Mary Imogene Bassett Hospital, One Atwell Road, Cooperstown, NY 13326, USA. timothy.siegel@bassett.org
Abstract:
Percutaneous endoscopic gastrostomy (PEG) has become the procedure of choice for long-term enteral feeding. Complications are generally infrequent and often avoidable. We describe an unusual case in which a PEG tube bumper caused subcutaneous perforation of an ileostomy. After conservative treatment proved unsuccessful, revision of the ileostomy via a peristomal incision was performed, with good result. Caution must be exercised before considering the severance of a PEG tube at the skin, especially in patients with an ileostomy.
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