Complications of percutaneous endoscopic gastrostomy

Percutaneous endoscopic gastrostomy (PEG) has become a widely used technique for enteral feeding in patients with debilitating neurological disorders of swallowing or upper gastrointestinal obstruction. While it is considered a relatively safe procedure, the overall complication rate ranges from 4.9...

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Bibliographic Details
Published inGastrointestinal emergencies pp. 51 - 56
Main Authors Willandt, Barbara, Vandervoort, Jo
Format Book Chapter
LanguageEnglish
Published Chichester, UK John Wiley & Sons, Ltd 20.11.2015
Subjects
aspiration
buried bumper
complications
endoscopic
gastrostomy
hemorrhage
infection
necrotizing fasciitis
Percutaneous
pneumoperitoneum
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Summary:Percutaneous endoscopic gastrostomy (PEG) has become a widely used technique for enteral feeding in patients with debilitating neurological disorders of swallowing or upper gastrointestinal obstruction. While it is considered a relatively safe procedure, the overall complication rate ranges from 4.9 to 10.8%. Minor complications include pneumoperitoneum, peristomal infection, and peristomal leakage. Major complications include aspiration in 0.3–1% of cases and hemorrhage from abdominal wall or anterior gastric wall vessels. A dreaded complication is necrotizing fasciitis of the abdominal wall which carries a mortality of 35–70%. Perforation of intra‐abdominal organs and gastroenteric fistulization have been reported. In some cases, the tube may migrate into the gastric mucosa resulting in “buried bumper syndrome”.
ISBN:9781118638422
1118638425
DOI:10.1002/9781118662915.ch9