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Surgical Endoscopy

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01-04-2021 | Endoscopy | Dynamic Manuscript

Endoscopic rescue of early percutaneous endoscopy gastrostomy tube dislodgement

Authors: R. M. Juza, S. Docimo, S. Drexel, V. Sandoval, J. M. Marks, E. M. Pauli

Published in: Surgical Endoscopy | Issue 4/2021

Abstract

Background

Percutaneous endoscopic gastrostomy (PEG) tube placement is one of the most common methods for establishing durable enteral access. Early PEG dislodgement occurs in < 5% of cases but typically prompts urgent surgical intervention to reestablish the gastrocutaneous tract and prevent intra-abdominal sepsis. To date, there is a single case report in the literature where successful endoscopic “rescue” of an early dislodged PEG tube negated the need for operative intervention. Here, we report our experience with a series of endoscopic PEG rescues for early dislodged PEG tubes.

Methods

A retrospective analysis of cases was reviewed from two institutions. Patients with early PEG dislodgements underwent PEG rescue using a gastroscope and standard Ponsky “Pull” PEG techniques through the original tract.

Results

Eleven patients were identified from the database and underwent PEG rescue after early PEG dislodgement. Mean operative time was 68 min, and there were no complications related to PEG rescue. PEG rescue permitted safe re-establishment of the gastrostomy tract while avoiding laparoscopic or open surgical intervention in hemodynamically stable patients. All patients tolerated the procedure well and were able to resume use of the PEG tubes shortly after intervention.

Conclusion

Endoscopic rescue represents a feasible noninvasive option for PEG tube replacement following early inadvertent PEG tube dislodgement in appropriate clinical settings.

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Title: Endoscopic rescue of early percutaneous endoscopy gastrostomy tube dislodgement
Authors: R. M. Juza
S. Docimo
S. Drexel
V. Sandoval
J. M. Marks
E. M. Pauli
Publication date: 01-04-2021
Publisher: Springer US
Keywords: Endoscopy
Septicemia
Septicemia
Gastrostomy
Published in: Surgical Endoscopy / Issue 4/2021
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-020-08203-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Endoscopic rescue of early percutaneous endoscopy gastrostomy tube dislodgement

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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