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Transhepatic Insertion of Percutaneous Endoscopic Gastrostomy Tube.


ABSTRACT: Inadvertent injury to interposing organs during percutaneous endoscopic gastrostomy (PEG) tube placement is a feared complication of this common and generally safe procedure. Transhepatic PEG insertion is likely an underrepresented complication which may be identified incidentally on imaging or present with life-threatening conditions such as sepsis or massive bleeding. Use of ultrasound in patients with known hepatomegaly may possibly help avoid this complication. We hereby report a case of transhepatic PEG insertion, one of 16 only other cases published in the literature, and review the characteristics of the previous reported cases.

SUBMITTER: Imam Z 

PROVIDER: S-EPMC7037529 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Transhepatic Insertion of Percutaneous Endoscopic Gastrostomy Tube.

Imam Zaid Z   Simons-Linares C Roberto CR  

Case reports in gastrointestinal medicine 20200212


Inadvertent injury to interposing organs during percutaneous endoscopic gastrostomy (PEG) tube placement is a feared complication of this common and generally safe procedure. Transhepatic PEG insertion is likely an underrepresented complication which may be identified incidentally on imaging or present with life-threatening conditions such as sepsis or massive bleeding. Use of ultrasound in patients with known hepatomegaly may possibly help avoid this complication. We hereby report a case of tra  ...[more]

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