Transhepatic Insertion of Percutaneous Endoscopic Gastrostomy Tube

Inadvertent injury to interposing organs during percutaneous endoscopic gastrostomy (PEG) tube placement is a feared complication of this common and generally safe procedure. Transhepatic PEG insertion is likely an underrepresented complication which may be identified incidentally on imaging or pres...

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Main Authors: Zaid Imam, C. Roberto Simons-Linares
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2020/4516032
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author Zaid Imam
C. Roberto Simons-Linares
author_facet Zaid Imam
C. Roberto Simons-Linares
author_sort Zaid Imam
collection DOAJ
description Inadvertent injury to interposing organs during percutaneous endoscopic gastrostomy (PEG) tube placement is a feared complication of this common and generally safe procedure. Transhepatic PEG insertion is likely an underrepresented complication which may be identified incidentally on imaging or present with life-threatening conditions such as sepsis or massive bleeding. Use of ultrasound in patients with known hepatomegaly may possibly help avoid this complication. We hereby report a case of transhepatic PEG insertion, one of 16 only other cases published in the literature, and review the characteristics of the previous reported cases.
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institution Kabale University
issn 2090-6528
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publishDate 2020-01-01
publisher Wiley
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-6c68499195b24c768e1a8f8c2d2311732025-02-03T01:00:05ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362020-01-01202010.1155/2020/45160324516032Transhepatic Insertion of Percutaneous Endoscopic Gastrostomy TubeZaid Imam0C. Roberto Simons-Linares1Department of Internal Medicine, William Beaumont Hospital, Royal Oak, MI, USAGastroenterology and Hepatology Department, Digestive Diseases Institute, Cleveland Clinic, Cleveland, OH, USAInadvertent injury to interposing organs during percutaneous endoscopic gastrostomy (PEG) tube placement is a feared complication of this common and generally safe procedure. Transhepatic PEG insertion is likely an underrepresented complication which may be identified incidentally on imaging or present with life-threatening conditions such as sepsis or massive bleeding. Use of ultrasound in patients with known hepatomegaly may possibly help avoid this complication. We hereby report a case of transhepatic PEG insertion, one of 16 only other cases published in the literature, and review the characteristics of the previous reported cases.http://dx.doi.org/10.1155/2020/4516032
spellingShingle Zaid Imam
C. Roberto Simons-Linares
Transhepatic Insertion of Percutaneous Endoscopic Gastrostomy Tube
Case Reports in Gastrointestinal Medicine
title Transhepatic Insertion of Percutaneous Endoscopic Gastrostomy Tube
title_full Transhepatic Insertion of Percutaneous Endoscopic Gastrostomy Tube
title_fullStr Transhepatic Insertion of Percutaneous Endoscopic Gastrostomy Tube
title_full_unstemmed Transhepatic Insertion of Percutaneous Endoscopic Gastrostomy Tube
title_short Transhepatic Insertion of Percutaneous Endoscopic Gastrostomy Tube
title_sort transhepatic insertion of percutaneous endoscopic gastrostomy tube
url http://dx.doi.org/10.1155/2020/4516032
work_keys_str_mv AT zaidimam transhepaticinsertionofpercutaneousendoscopicgastrostomytube
AT crobertosimonslinares transhepaticinsertionofpercutaneousendoscopicgastrostomytube