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Ulus Travma Acil Cerrahi Derg · Dec 2023
Case ReportsAccidental late PEG dislodgment in 3 cases with a narrow stoma: Bougie dilatation rescue.
- İbrahim Hakkı Köker, Özlem Yenidünya, Nurten Akyürek Savaş, Şerife Değirmencioğlu Tosun, and Can Davutoğlu.
- Başkent University Medicine Faculty, Istanbul Hospital, Department of Gastroenterology, İstanbul-Türkiye.
- Ulus Travma Acil Cerrahi Derg. 2023 Dec 1; 29 (12): 138213841382-1384.
AbstractPercutaneous Endoscopic Gastrostomy (PEG) is a simple and effective method of enteral nutrition in many patients who cannot take oral food. The accidental dislodgement of the PEG tube after the maturation of the gastro-cutaneous fistula (stoma) is called late dislodgement. If it is not detected early, the stoma lumen gets narrower; and does not permit the passage of the replacement tube. In this case, the commonly followed method is to continue enteral nutrition by opening a new gastro-cutaneous fistula after the complete closing of the original stoma. Here, we present a stoma-saving bougie dilatation method in 3 cases with severely narrowed stomas after late accidental dislodgement of the PEG tube.
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