Ｐｅｒｃｕｔａｎｅｏｕｓ　Ｅｎｄｏｓｃｏｐｉｃ　Ｇａｓｔｒｏｓｔｏｍｙ（ＰＥＧ）の合併症の検討

DOI 被引用文献5件 参考文献33件

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  • Complications of Percutaneous Endoscopic Gastrostomy.

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We reviewed the complications of percutaneous endoscopic gastrostomy (PEG) in 75 patients. We employed the pull technique for placement in all cases. No patient suffered of complication during the procedure. Three patients (4%) died within one month after PEG, but none of these deaths were considered procedure-related. Early postoperative complications included wound infection in 13 patients (17%) and peristornal leakage in 12 patients (16%). Late complications included gastroesophageal reflux in eight (11%), accidental dislodgement in four (5%), excess granulation tissue formation in two (3%), and buried bumper syndrome, hemorr-hagic gastric ulcer, and difficulty in catheter removal in one patient (1%), respectively. Three major complications occurred; peritonitis in two patients (3%) and premature dislodgement of the catheter in one patient (1%). The most severe complication was peritonitis after replacement of the catheter due to disruption of the gastrostomy tract. Subsequently, we routinely confirmed the correct position of the new catheter radiographically by injecting contrast medium through the catheter. We conclude that PEG is safe, but that both early and late complications can occur.

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