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Percutaneous endoscopic gastrostomy: a dislodgement complication due to a moving hiatal hernia
- Source :
- Scandinavian Journal of Gastroenterology. 56:1503-1505
- Publication Year :
- 2021
- Publisher :
- Informa UK Limited, 2021.
-
Abstract
- Objectives: Frail patients with malnourishment due to an esophageal condition and dysphagia are often unamenable to safe surgery. Thus, in high-risk patients, less invasive techniques such as percutaneous endoscopic gastrostomy (PEG) are regarded as a safer choice. Nevertheless, as described here, PEG insertion can have rare serious complications.Materials and methods: We report the case of a frail patient with dysphagia due to a large Zenker's diverticulum and concomitant giant hiatal hernia. To improve her nutrinitional status before surgery she received a PEG after endoscopic repositioning of the hernia.Results: Within 48 hours after hernia repositioning and PEG insertion, a severe adverse event ensued: dislodgement of the PEG due to stomach reherniation.Conclusions: This case challenges the use of PEG as an only means for gastric fixation for hiatal hernia.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
macromolecular substances
Hiatal hernia
03 medical and health sciences
0302 clinical medicine
Percutaneous endoscopic gastrostomy
medicine
Humans
Hernia
Fixation (histology)
Gastrostomy
2. Zero hunger
business.industry
Stomach
technology, industry, and agriculture
Gastroenterology
Endoscopy
medicine.disease
Dysphagia
digestive system diseases
3. Good health
Surgery
Hernia, Hiatal
medicine.anatomical_structure
030220 oncology & carcinogenesis
Concomitant
Female
030211 gastroenterology & hepatology
medicine.symptom
Deglutition Disorders
business
Complication
Subjects
Details
- ISSN :
- 15027708 and 00365521
- Volume :
- 56
- Database :
- OpenAIRE
- Journal :
- Scandinavian Journal of Gastroenterology
- Accession number :
- edsair.doi.dedup.....6807a7e19720d3148b5d4a1ea2fdb62d