Abstract
Dislodged percutaneous endoscopic gastrostomy (PEG) tubes occur commonly and may require urgent surgical intervention in a susceptible patient population. Natural orifice translumenal endoscopic surgery (NOTES) may facilitate PEG rescue and avoid the morbidity associated with contemporary surgical techniques. We report a case of a dislodged PEG tube in the early post-operative period with evidence of incomplete gastrocutaneous tract formation and intra-abdominal leakage. Bedside transgastric NOTES exploration facilitated peritoneoscopy, evacuation of intra-abdominal fluid, and re-establishment of the PEG tube through the original gastrotomy tract. Tube feeds were resumed and postoperative contrast fluoroscopy demonstrated no intra-abdominal leakage from the replaced PEG tube. No postoperative complications related to the NOTES procedure were noted at 30 days of follow-up. PEG rescue represents a unique, practical, and empowering application of the burgeoning experience of NOTES.
Original language | English (US) |
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Pages (from-to) | 816-819 |
Number of pages | 4 |
Journal | Surgical Endoscopy and Other Interventional Techniques |
Volume | 21 |
Issue number | 5 |
DOIs | |
State | Published - May 2007 |
Keywords
- Endoscopy
- Minimally Invasive Surgery
- NOTES
- PEG
ASJC Scopus subject areas
- Surgery