Management of premature removal of the percutaneous gastrostomy.

摘要: Percutaneous endoscopic gastrostomy (PEG) has become the preferred method of enteral access for nutritional support. With increased use this modality, complications are encountered more frequently. Premature withdrawal, inadvertent removal tube within first seven days after insertion, before adherence gastric serosa to parietal peritoneum, been an indication laparotomy. This report describes treatment premature withdrawal by immediate replacement. Over 18-month period, 271 patients underwent insertion a PEG. Five (1.8%) who inadvertently removed their were treated with replacement using retrograde string technique, avoiding All five PEGs successfully replaced through same site. Despite presence pneumoperitoneum, no patient developed peritonitis or other septic complications. is safely managed and observation. Laparotomy unnecessary potentially meddlesome.