Abstract
Percutaneous endoscopic gastrostomy (PEG) is a well-established technique for providing long-term nutritional support. The advantages and most frequent complications have been widely documented, but less is known about the danger of removing or replacing a PEG by cutting the device at skin level without endoscopic assistance to ensure the removal of the inner part. Laparotomy is often required in elderly and high-risk patients to relieve an intestinal obstruction or perforation. We describe a fatal case of small bowel perforation, resulting from the inability to remove an inner bumper.
MeSH terms
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Carcinoma / complications
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Carcinoma / therapy
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Combined Modality Therapy
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Deglutition Disorders / etiology
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Deglutition Disorders / therapy
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Device Removal / adverse effects*
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Disease Progression
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Enteral Nutrition / instrumentation*
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Epiglottis
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Equipment Design
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Fatal Outcome
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Foreign-Body Migration / complications*
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Foreign-Body Migration / surgery
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Gastroscopy / methods
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Gastrostomy / instrumentation*
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Humans
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Iatrogenic Disease*
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Ileal Diseases / etiology*
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Ileal Diseases / surgery
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Ileus / etiology
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Intestinal Perforation / etiology*
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Intestinal Perforation / surgery
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Intubation, Gastrointestinal / instrumentation*
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Intubation, Gastrointestinal / methods
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Laparotomy
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Laryngeal Neoplasms / complications
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Laryngeal Neoplasms / therapy
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Male
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Middle Aged
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Peritonitis / etiology
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Peritonitis / surgery
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Pneumothorax / etiology
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Ulcer / etiology