Article Text

PDF

Oesophageal dislocation of a percutaneous endoscopic gastrostomy (PEG)
  1. P Borusiak,
  2. P Gerner
  1. Zentrum für Kinder- und Jugendmedizin, Helios Klinikum Wuppertal–Kooperierende Klinik der Universität Witten/Herdecke, Heusnerstr. 40, D-42283 Wuppertal, Germany; pborusiakwuppertal.helios-kliniken.de

    Statistics from Altmetric.com

    Percutaneous endoscopic gastrostomy (PEG) was developed more than 20 years ago to avoid celiotomy and its attendant morbidity, especially in a high-risk group of paediatric patients. The rate for complications like peritonitis, wound infection, or gastrocoelic fistula in the literature is about 10–20%. We present a 4 month old girl who had a placement of a PEG due to massive difficulties with enteral feeding as a result of severe peripartum asphyxia. Three days later she presented with fever and signs of an abdominal infection. During the work-up, x ray examination showed a dislocation of the PEG bumper in the middle oesophagus causing a tracheal compression. The bumper was removed endoscopically without permanent sequelae. Especially in children with neurological diseases the development or aggravation of a gastro-oesophageal reflux has been reported in patients with PEG.


    Embedded Image

    View Abstract

    Request permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.