tailieunhanh - Báo cáo y học: "The complications of percutaneous endoscopic gastrostomy"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: The complications of percutaneous endoscopic gastrostomy. | Available online http content 12 4 422 Letter The complications of percutaneous endoscopic gastrostomy Julien Bordes1 Emmanuel Hornez2 Nadia Kenane1 Christophe Carrere3 Yves Asencio1 and Philippe Goutorbei iDepartment of Intensive Care Sainte Anne Hospital Boulevard Sainte Anne 83800 Toulon France 2Department of Visceral Surgery Sainte Anne Hospital Boulevard Sainte Anne 83800 Toulon France 3Department of Gastroenterology Sainte Anne Hospital Boulevard Sainte Anne 83800 Toulon France Corresponding author Julien Bordes Published 23 July 2008 Critical Care 2008 12 422 doi cc6962 This article is online at http content 12 4 422 2008 BioMed Central Ltd Percutaneous endoscopic gastrostomy PEG has become the primary procedure for the long-term nutrition of patients with swallowing disorders. It has been shown to be an effective method with a lower complication rate than surgical placement 1 . It can be performed in the intensive care unit but complications may occasionally occur. The estimated incidence of major complications is 8 2 . Abscess and wound infections are the most frequent complications but necrotizing fasciitis colon or small bowel injuries gastrocolic fistula duodenal hematoma liver injury gastric perforation and catheter migration have also been described 3 . Unexpectedly acute hemorrhage following PEG is rarely reported. In the literature we found only one case report of a fatal retroperitoneal hemorrhage occurring 2 hours after a PEG 4 . In a series of 263 cases Schurink and colleagues 2 described only two cases of intra-abdominal bleeding. A 59-year-old man was admitted to our hospital with intracerebral hemorrhage. On day 40 a PEG was performed in the intensive care unit using the pull technique as previously described 5 . The needle puncture of the stomach was accomplished only on the second attempt although the rest of the procedure was completed uneventfully. The material used was the Bard Fastrac