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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
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Herniation through gastrostomy site: Case report.

Fernando Navarro1, Catherine Loflin1, Paul Diegidio1

  • 1University of South Carolina School of Medicine, Department of Surgery, Two Medical Park, Suite 306, Columbia, SC 29203, USA.

International Journal of Surgery Case Reports
|July 5, 2016
PubMed
Summary
This summary is machine-generated.

Herniation at the gastrostomy site is a rare complication of percutaneous endoscopic gastrostomy (PEG) tubes. Surgical repair using mesh, either laparoscopically or openly, is effective for managing this condition.

Keywords:
Case reportHerniaHerniationPEG tubesPercutaneous endoscopic gastrostomy

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Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Herniation through the gastrostomy site is an exceptionally rare complication associated with percutaneous endoscopic gastrostomy (PEG) procedures.
  • This presentation details two unique cases of gastrostomy site herniation.

Purpose of the Study:

  • To describe the surgical management of two patients with gastrostomy site herniation.
  • To review the existing literature on this rare complication.

Main Methods:

  • Case 1: A 65-year-old male with a 10cm epigastric hernia post-PEG removal, managed with laparoscopic surgery and mesh repair.
  • Case 2: A 66-year-old obese male with a 6cm midepigastric hernia post-PEG removal, managed with open surgery and mesh repair.

Main Results:

  • Both patients underwent successful surgical repair of their hernias using composite mesh.
  • Both patients experienced uneventful postoperative recovery.

Conclusions:

  • Gastrostomy site herniation is a potential complication of PEG tube placement that requires clinical consideration in patients presenting with related symptoms.
  • Laparoscopic and open surgical techniques are safe and effective for correcting gastrostomy site hernias.