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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
Small bowel perforation after incomplete removal of percutaneous endoscopic gastrostomy catheter
A Lattuneddu1, P Morgagni, G Benati
1Department of General Surgery 1, Morgagni Hospital, Piazzi Solieri 1, 47100 Forlì, Italy. a.lattuneddu@ausl.fo.it
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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