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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;

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    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.

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