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. 2016 Apr;78(2):144-6.
doi: 10.1007/s12262-015-1377-6. Epub 2015 Oct 17.

Wandering Gastrostomy

Naduthottam Palaniswami Kamalesh  1 , Kurumboor Prakash  1 , Ganesh Narayanan Ramesh  1
Affiliations

Wandering Gastrostomy

Naduthottam Palaniswami Kamalesh et al. Indian J Surg. 2016 Apr.

Abstract

Percutaneous endoscopic gastrostomy (PEG) is a relatively safe and effective method of providing nutrition to patients with neurologic deficits or proximal gastrointestinal pathology. Complications that follow this common procedure include dislodgement, dysfunction, infection, gastric/colonic perforation, bleeding, peritonitis, or death. The emergency physician should be aware of the complications and symptoms/signs associated for appropriate management of these patients. We present a case of a young lady who developed a cerebral infarction following amniotic fluid embolism during her cesarean section and had undergone a PEG tube placement. She developed displacement of this PEG tube and underwent another PEG tube placement. She later presented to us with PEG tube migration into the transverse colon and required surgical removal of the same PEG tube.

Keywords: Colocutaneous fistula; Complications; Migration of PEG tube; Percutaneous endoscopic gastrostomy.

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Figures

Fig. 1
Fig. 1
CT abdomen showing the bumper of the PEG tube within the transverse colon, (inset) sagittal section depicting the relative positions of the two PEG tubes
Fig. 2
Fig. 2
Intraoperative photograph showing removal of the bumper from within the transverse colon
See this image and copyright information in PMC

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