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Diagnosis of a Transverse Colon Penetration and Tube Displacement 4 Months after Percutaneous Radiologic Gastrostomy  

Hong, Jong-Sam (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
Han, Koon-Hee (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
Lee, Hong-Yeul (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
Park, Jong-Kyu (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
Lee, Sang-Jin (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
Kim, Young-Don (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
Jeong, Woo-Jin (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
Cheon, Gab-Jin (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
Publication Information
Clinical Endoscopy / v.42, no.1, 2011 , pp. 52-56 More about this Journal
Abstract
Percutaneous radiologic gastrostomy (PRG) is an enteral nutritional method that can be applied to a patient with dysphagia due to cerebrovascular accident, Parkinsonism, dementia, or head and neck cancer. PRG is a safe and cost-effective method with low morbidity and mortality rates compared with surgical gastrostomy, because it require less sedation and less invasive placement technique. PRG complications include wound infections, peritonitis, tube malfunctions, peristomal leakage, bleeding, ileus, pneumoperitoneum, aspiration pneumonia, and bowel perforation. But, bowel perforation after PRG is rare. We recently experienced a case of transverse colon penetration and tube displacement, which occurred as a PRG complication in a 60-year-old male with a cerebrovascular accident.
Keywords
Percutaneous radiologic gastrostomy; Colon penetration;
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1 Preshaw RM. A percutaneous method for inserting a feeding gastrostomy tube. Surg Gynecol Obstet 1981;152:659-660.
2 Brady AP. Percutaneous gastrostomy: US guidance for gastric puncture. Radiology 2000;214:303-304.   DOI
3 Saini S, Mueller PR, Gaa J, et al. Percutaneous gastrostomy with gastropexy: experience in 125 patients. AJR Am J Roentgenol 1990;154:1003-1006.   DOI   ScienceOn
4 Dewald CL, Hiette PO, Sewall LE, Fredenberg PG, Palestrant AM. Percutaneous gastrostomy and gastrojejunostomy with gastropexy: experience in 701 procedures. Radiology 1999;211:651-656.   DOI
5 McLoughlin RF, Gibney RG. Fluoroscopically guided percutaneous gastrostomy: tube function and malfunction. Abdom Imaging 1994;19:195-200.   DOI   ScienceOn
6 Ho CS, Yeung EY. Percutaneous gastrostomy and transgastric jejunostomy. AJR Am J Roentgenol 1992;158:251-257.   DOI   ScienceOn
7 Bell SD, Carmody EA, Yeung EY, Thurston WA, Simons ME, Ho CS. Percutaneous gastrostomy and gastrojejunostomy: additional experience in 519 procedures. Radiology 1995;194:817-820.   DOI
8 Hicks ME, Surratt RS, Picus D, Marx MV, Lang EV. Fluoroscopically guided percutaneous gastrostomy and gastroenterostomy: analysis of 158 consecutive cases. AJR Am J Roentgenol 1990;154:725-728.   DOI   ScienceOn
9 Waitzberg DL, Plopper C, Terra RM. Access routes for nutritional therapy. World J Surg 2000;24:1468-1476.   DOI   ScienceOn
10 Ozmen MN, Akhan O. Percutaneous radiologic gastrostomy. Eur J Radiol 2002;43:186-195.   DOI   ScienceOn
11 Silas AM, Pearce LF, Lestina LS, et al. Percutaneous radiologic gastrostomy versus percutaneous endoscopic gastrostomy: a comparison of indication, complication and outcomes in 370 patients. Eur J Radiol 2005;56:84-90.   DOI   ScienceOn
12 Schapiro GD, Edmundowicz SA. Complications of percutaneous endoscopic gastrostomy. Gastrointest Endosc Clin N Am 1996;6:409-422.
13 Magne N, Marcy PY, Foa C, et al. Comparison between nasogastric tube feeding and percutaneous fluoroscopic gastrostomy in advanced head and neck cancer patients. Eur Arch Otorhinolaryngol 2001;258:89-92.   DOI   ScienceOn
14 Wollman B, D'Agostino HB, Walus-Wigle JR, Easter DW, Beale A. Radiologic, endoscopic and surgical gastrostomy: an institutional evaluation and meta-analysis of the literature. Radiology 1995;197:699-704.   DOI