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Complications after percutaneous endoscopic gastrostomy removal
1Department of Surgery, Wayne State University, Detroit, Michigan.
Surgical Laparoscopy & Endoscopy
|June 1, 1991
Summary
Complications can occur after percutaneous endoscopic gastrostomy (PEG) tube removal. Careful patient monitoring is crucial to detect issues like persistent fistulas or pneumoperitoneum post-removal.
Area of Science:
- Gastroenterology
- Surgical Complications
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a common procedure for enteral feeding.
- PEG removal is generally considered safe, but potential complications exist.
Observation:
- Two cases of post-PEG removal complications are presented.
- Case 1: Persistent gastrocutaneous fistula requiring surgical repair.
- Case 2: Pneumoperitoneum and peritonitis due to gastric wall separation after vomiting.
Findings:
- Complications following PEG removal can be serious and require intervention.
- Delayed complications, such as gastric wall separation, can occur weeks after tube removal.
- Gastrocutaneous fistulas may persist after PEG removal.
Implications:
- Highlights the importance of vigilant patient monitoring after PEG removal.
- Suggests a need for standardized post-removal care protocols.
- Emphasizes prompt diagnosis and management of post-PEG removal complications.