Percutaneous Endoscopic Gastrostomy (PEG) is a commonly performed procedure amongst hospitalized patients. Patients requiring PEG are frequently treated with antiplatelet agents for chronic conditions. Guidelines of the American Society of Gastrointestinal Endoscopy published in 2006 recommend that practitioners consider discontinuing antiplatelet agents for 7-10 days prior to PEG placement. Discontinuing antiplatelet agents for one week […]
Introduction: The accidental intraoperative perforation of the gallbladder is a problem of the laparoscopic surgery, if an incidental gallbladder carcinoma exists at the time of operation.According to the literature this complication comes up to 30% of the laparoscopic operations.In order to prevent the dissemination of tumourcells the use of an isolation bag is proclaimed.The question […]
The use of the BioEnterics intragastric balloon® is generally considered to be safe and efficacious for short-term weight loss, however complications have been reported. The most commonly reported complications include balloon intolerance requiring early removal, gastric erosions, gastric ulcerations, esophagitis, and early deflation of the device.We report a case of a esophageal perforation following endoscopic […]
OBJECTIVE – Percutaneous Endoscopic Gastrostomy (PEG) tubes are routinely placed in Surgical Intensive Care Unit (SICU). Poor tissue healing or technical issues after tube insertion can lead to peritonitis requiring a laparotomy. Risk factors leading to this major complication are not identified.METHODS – We conducted a retrospective review of all PEG tubes inserted in SICU […]
Introduction: Gastrostomy tube dislodgment shortly after placement may lead to a gastric perforation if a gastrocutaneous fistula tract did not have time to form. The current standard approach to this problem is immediate laparotomy and creation of a new gastrostomy. We report a novel, incision-free approach to this problem that involves grasping the gastric perforation […]