Korean J Gastrointest Endosc.  2004 May;28(5):247-250.

Massive Gastric Bleeding Occuring after the Replacement of Percutaneous Endoscopic Gastrostomy Tube

• Kim YM
• Nam SO
• Park JH

Abstract

Percutaneous endoscopic gastrostomy (PEG) tube placement is preferred one of the standard method for providing enteral nutrition to infants and children with feeding problems. It was introduced into clinical practice in 1980 and now considered as a widely used technique. It is simple to perform and does not require general anesthesia. However, acute complications can occur with the use of PEG tubes such as wound infection, pneumoperitoneum and transient ileus. Because long-term placement of PEG tube is frequently required in pediatric patients with neurologic impairment, late-onset complications should be observed in them. We report a case of massive gastric bleeding occuring after the replacement of the PEG tube in an 8-year-old boy, as one of the late complication of PEG placement. We assumed that the mechanical trauma to hypertrophic gastric mucosa associated with incomplete buried-bumper syndrome was the cause of massive bleeding.

Keyword

Percutaneous endoscopic gastrostomy; Complication; Gastric bleeding

MeSH Terms

Anesthesia, General
Child
Enteral Nutrition
Gastric Mucosa
Gastrostomy*
Hemorrhage*
Humans
Ileus
Infant
Male
Pneumoperitoneum
Wound Infection