Diagnosis of a Transverse Colon Penetration and Tube Displacement 4 Months after Percutaneous Radiologic Gastrostomy.
- Author:
Jong Sam HONG
1
;
Koon Hee HAN
;
Hong Yeul LEE
;
Jong Kyu PARK
;
Sang Jin LEE
;
Young Don KIM
;
Woo Jin JEONG
;
Gab Jin CHEON
Author Information
1. Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. gi@gnah.co.kr
- Publication Type:Case Report
- Keywords:
Percutaneous radiologic gastrostomy;
Colon penetration
- MeSH:
Colon, Transverse;
Deglutition Disorders;
Dementia;
Displacement (Psychology);
Gastrostomy;
Head and Neck Neoplasms;
Hemorrhage;
Humans;
Ileus;
Male;
Middle Aged;
Parkinsonian Disorders;
Peritonitis;
Pneumonia, Aspiration;
Pneumoperitoneum;
Stroke;
Wound Infection
- From:Korean Journal of Gastrointestinal Endoscopy
2011;42(1):52-56
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Percutaneous radiologic gastrostomy (PRG) is an enteral nutritional method that can be applied to a patient with dysphagia due to cerebrovascular accident, Parkinsonism, dementia, or head and neck cancer. PRG is a safe and cost-effective method with low morbidity and mortality rates compared with surgical gastrostomy, because it require less sedation and less invasive placement technique. PRG complications include wound infections, peritonitis, tube malfunctions, peristomal leakage, bleeding, ileus, pneumoperitoneum, aspiration pneumonia, and bowel perforation. But, bowel perforation after PRG is rare. We recently experienced a case of transverse colon penetration and tube displacement, which occurred as a PRG complication in a 60-year-old male with a cerebrovascular accident.
