BACKGROUND Since its introduction in the early 1980s, percutaneous endoscopic gastrostomy has become the most popular method for performing a gastrostomy for long-term enteral feeding. It has been associated, however, with a lot of minor and major complications. CASE PRESENTATION A case of mediastinitis with concominant sepsis caused by a masked esophageal perforation after percutaneous endos...

Gastrostomy allows enteral nutrition to continue in patients who are unable to meet their caloric requirements orally. Though the indications for gastrostomy placement are varied, dysphagia secondary to a neurological condition is the most common. These catheters were initially placed surgically, but percutaneous endoscopic placement is now the routine in most centers. Interventional radiologis...

1. Dormann AJ, Huchzermeyer H. Endoscopic techniques for enteral nutrition: standards and innovations [review]. Dig Dis 2002;20:145-53. 2. Dormann AJ, Glosemeyer R, Leistner U, Deppe H, Roggel R, Wigginghaus B, et al. Modified percutaneous endoscopic gastrostomy (PEG) with gastropexy: early experience with a new introducer technique. Z Gastroenterol 2000;38:933-8. 3. Kulling D, Sonnenberg A, Fr...

We reported a case in which a nasogastric tube was inserted into the gastrocutaneous fistula, diagnosed by abdominal computed tomography. A 78-year-old man with a history of recurrent cerebral hemorrhage had a percutaneous endoscopic gastrostomy tube due to dysphagia for 2 years. However, soft tissue infection at the gastrostomy site caused the removal of the tube. Immediately, antibiotic agent...

Background: Persistent gastrocutaneous fistula (GCF) following percutaneous endoscopic gastrostomy (PEG) tube removal often require surgical intervention for successful closure which increases the morbidity and mortality associated with this condition. The growing use of endoscopic clips to close fistulas has become an effective and less invasive treatment modality. We report successful closure...

Tube feeding is commonly used in providing enteral nutrition to the patient with dysphagia. The percutaneous endoscopic gastrostomy (PEG) is an alternative to the nasogastric tube (NG) and the surgical gastrostomy. The advantages of PEG are short procedure time, the avoidance of using an operating theatre and general anaesthesia and reduced cost. The main indication for PEG is dysphagia due to ...

Slim endoscopes can be passed through gastrostomy tracts, but dilation is required for the passage of standard endoscopes, which may result in tract disruption. Large-diameter covered self-expandable metal stents (CSEMS) have been placed through percutaneous tracts to enable endotherapy. A 20-year-old man underwent complex thoraco-abdominal surgery following traumatic injury, resulting in a cer...