Korean J Gastrointest Endosc.
2009 May;38(5):266-269.
A Case of Subcutaneous Emphysema Following Percutaneous Endoscopic Gastrostomy
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Suwon, Korea. rock9316@catholic.ac.kr
Abstract
- Percutaneous endoscopic gastrostomy (PEG) has widely accepted for providing safe, long-term enteral nutrition for patients with swallowing disabilities. Though safe and technically simple, this procedure is often associated with some complications, such as wound infection, bleeding, stroma leaks and tube transposition. Major complications are rare and these include aspiration pneumonia, perforations, peritonitis and necrotizing fasciitis. We report here on a patient who developed extensive subcutaneous emphysema with hemoperitoneum and peritonitis following PEG. Medical treatment without removal of the PEG led to resolution of the emphysema and the peritonitis and successful PEG feeding.
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