General principles for the prevention and treatment of complications of percutaneous endoscopic gastrostomy (review of literature)
https://doi.org/10.24884/1607-4181-2019-26-3-25-30
Abstract
We considered the views of researchers presented in the modern literature on both the problem as a whole and discussion questions regarding the causes of development, preventive measures, and methods of treating percutaneous endoscopic gastrostomy complications, such as clogging of the gastrostomy tube, peristomal wound infections, necrotic fasciitis, pneumoperitoneum, buried bumper syndrome, growth of granulations in the gastrostomy zone, postoperative bleeding and intraparietal hematoma of the gastric wall, traumatic dislocation of the gastrostomy tube, peritonitis after percutaneous endoscopic gastrostomy, peristomal leakage, сolonic fistula, liver injury and abdominal wall metastasis at the percutaneous endoscopic gastrostomy site.
About the Authors
K. V. Golubev
St. Petersburg State Budgetary Institution of Healthcare "City Multi-Profile Hospital № 2"
Russian Federation
Competing Interests:
Russian Federation
Golubev Kirill Vladimirovich, Duty surgeon, department of general surgery.
Attaching to the department for writing a thesis for the degree of сandidate of Medical Sciences.
5, Uchebnii per., Saint Petersburg, 194354.
Competing Interests:
The authors declare no conflict of interest.
E. E. Topuzov
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Competing Interests: The authors declare no conflict of interest.
Russian Federation
Topuzov Eldar Eskenderovich, Doctor of Medicine, Professor, Head of the Department of Hospital Surgery. V.A. Oppelya
Saint Petersburg
Competing Interests: The authors declare no conflict of interest.
V. V. Oleynik
St. Petersburg State Budgetary Institution of Healthcare "City Multi-Profile Hospital № 2"
Russian Federation
Competing Interests: The authors declare no conflict of interest.
Russian Federation
Oleynik Vasiliy Vasilyevich, Doctor of Medicine, Professor, Head of the Department of General Surgery
Saint Petersburg
Competing Interests: The authors declare no conflict of interest.
T. R. Stuchevskaya
St. Petersburg State Budgetary Institution of Healthcare "City Multi-Profile Hospital № 2"
Russian Federation
Competing Interests: The authors declare no conflict of interest.
Russian Federation
Stuchevskaya Tima Romanovna, Candidate of Medicine, Associate Professor, Head of the Neurological Department No. 3
Saint Petersburg
Competing Interests: The authors declare no conflict of interest.
S. V. Gorchakov
St. Petersburg State Budgetary Healthcare Institution "City Multi-Profile Hospital No. 2"
Russian Federation
Competing Interests: The authors declare no conflict of interest.
Russian Federation
Gorchakov Sergey Vasilyevich, Candidate of Medicine, surgeon, department of general surgery
Saint Petersburg
Competing Interests: The authors declare no conflict of interest.
References
1. Blumenstein I., Shastri Y. M., Stein J. Gastroenteric tube feeding: Techniques, problems and solutions. World Journal of Gastroenterology. 2014;20(26):8505–8524.
2. Yuruker S., Koca B., Karabicak I. et al. Percutaneous Endoscopic Gastrostomy: Technical Problems, Complications, and Management. The Indian Journal of Surgery. 2015; 77(3):1159–1164.
3. James M. K., Ho V. P., Tiu S. P. et al. Low Abdominal Wall Thickness May Predict Percutaneous Endoscopic Gastro stomy Complications. The American surgeon. 2017; 83(2):183–190.
4. Richter-Schrag H. J., Richter S., Ruthmann O. et al. Risk factors and complications following percutaneous endoscopic gastrostomy: a case series of 1041 patients. Canadian Journal of Gastroenterology. 2011;25(4):201–206.
5. Dandeles L. M., Lodolce A. E. Efficacy of agents to prevent and treat enteral feeding tube clogs. The Annals of phar ma cotherapy. 2011;45(5):676–680.
6. Schrag S. P., Sharma R., Jaik N. P. et al. Complications related to percutaneous endoscopic gastrostomy (PEG) tubes. A comprehensive clinical review. Journal of gastrointestinal and liver diseases: JGLD. 2007;16(4):407–418.
7. Mohd Said M. R., Abdul Rani R., Raja Ali R. A. et al. Abdominal wall necrotising fasciitis: A rare but devastating complication of the percutaneous endoscopic gastrostomy procedure. The Medical Journal of Malaysia. 2017;72(1):77–79.
8. Lipp A., Lusardi G. Systemic antimicrobial prophylaxis for percutaneous endoscopic gastrostomy. The Cochra ne database of systematic reviews. 2006;18(4). Doi: 10.1002/14651858.CD005571.pub2.
9. Jafri N. S., Mahid S. S., Minor K. S. et al. Meta-analysis: antibiotic prophylaxis to prevent peristomal infection following percutaneous endoscopic gastrostomy. Alimentary pharmacology & therapeutics. 2007;25(6):647–656.
10. Horiuchi A., Nakayama Y., Kajiyama M. et al. Naso phar yngeal decolonization of methicillin-resistant Staphylococcus aureus can reduce PEG peristomal wound infection. The American journal of gastroenterology. 2006; 101(2):274–277.
11. Shastri Y. M., Hoepffner N., Tessmer A. et al. New introducer PEG gastropexy does not require prophylactic antibiotics: multicenter prospective randomized double-blind placebo-controlled study. Gastrointestinal endoscopy. 2008; 67(4):620–628.
12. Nazarian A., Cross W., Kowdley G. C. Pneumo peritoneum after percutaneous endoscopic gastrostomy among adu lts in the intensive care unit: incidence, predictive factors, and clinical significance. The American surgeon. 2012;78(5):591–594.
13. Afifi I., Zarour A., Al-Hassani A. et al. The Challen ging Buried Bumper Syndrome after Percutaneous Endoscopic Gastrostomy. Case reports in gastroenterology. 2016;10(2):224–232.
14. Müller-Gerbes D., Aymaz S., Dormann A. J. Management of the buried bumper syndrome: a new minimally invasive technique – the push method. Zeitschrift für Gastroenterologie. 2009;47(11):1145–1148.
15. Lee T. H., Lin J. T. Clinical manifestations and management of buried bumper syndrome in patients with percuta neous endoscopic gastrostomy. Gastrointestinal endoscopy. 2008;68(3):580–584.
16. McClave S. A., Chang W. K. Complications of enteral access. Gastrointestinal endoscopy. 2003;58(5):739–751.
17. Lee C. C., Ravindranathan S., Choksi V. Intraoperative Gastric Intramural Hematoma: A Rare Complication of Percutaneous Endoscopic Gastrostomy. The American journal of case reports. 2016;17:963–966.
18. Lucendo A. J., Sánchez-Casanueva T., Redondo O. et al. Risk of bleeding in patients undergoing percutaneous endoscopic gastrotrostomy (PEG) tube insertion under antiplatelet therapy: a systematic review with a meta-analysis. Re vista Española de Enfermedades Digestivas: organo official de la Sociedad Española de Patologia Digestiva. 2015; 107(3):128–136.
19. Itaba S., Kaku T., Minoda Y. et al. Gastric intramural hematoma caused by endoscopic ultrasound-guided fine-needle biopsy. Endoscopy. 2014;46. Doi: 10.1055/s-0034-1390867.
20. Lucendo A. J., Friginal-Ruiz A. B. Percutaneous endo scopic gastrostomy: An update on its indications, mana gement, complications, and care. Revista española de enfermedades digestivas. 2014;106(8):529–539.
21. Richter J. A., Patrie J. T., Richter R. P. et al. Bleeding after percutaneous endoscopic gastrostomy is linked to serotonin reuptake inhibitors, not aspirin or clopidogrel. Gastrointestinal endoscopy. 2011;74(1):22–34.
22. Anderson M. A., Ben-Menachem T., Gan S. I. et al. Management of antithrombotic agents for endoscopic procedures. Gastrointestinal endoscopy. 2009;70(6):1060–1070.
23. Heyland D. K., Stephens K. E., Day A. G. et al. The success of enteral nutrition and ICU-acquired infections: a multicenter observational study. Clinical nutrition. 2011; 30(2):148–155.
24. Qureshi A. Z, Jenkins M. R., Thornhill T. H. Percu taneous endoscopic gastrostomy versus nasogastric tube feeding during neurorehabilitation. Ifs, ands, or buts. NeuroSciences. 2016;21(1):69–71.
25. Darouiche R. O. Device-associated infections: a macro problem that starts with microadherence. Clinical infectious diseases. 2001;33(9):1567–1572.
26. Baskin W. N. Acute complications associated with bedside placement of feeding tubes. Nutrition in clinical practice. 2006;21(1):40–55.
27. Vasant D. H., Lal S., Blackett B. D. et al. Closure of a large high-output gastrocutaneous fistula with combined postpyloric feeding and aggressive medical therapy. BMJ case reports. 2012. Doi: 10.1136/bcr-2012-007267.
28. Heuss L. T., Spalinger R. The colocutaneous fistula – a rare complication of percutaneous endoscopic gastrostomy. Deutsche medizinische Wochenschrift (1946). 2012; 137(40):2043–2046.
29. Kim H. S., Bang C. S., Kim Y. S. et al. Two cases of gastrocolocutaneous fistula with a long asymptomatic period after percutaneous endoscopic gastrostomy. Intestinal research. 2014;12(3):251–255.
30. Friedmann R., Feldman H., Sonnenblick M. Misplacement of percutaneously inserted gastrostomy tube into the colon: report of 6 cases and review of the literature. Journal of parenteral and enteral nutrition. 2007;31(6):469–476.
31. Alsayari K., Masoodi I. Endoscopic glue injection with application of hemostatic clips: a novel method of closing a gastro colonic fistula after PEG tube complication. Nigerian journal of medicine. 2011;20(1):163–165.
32. Wiggins T. F., Kaplan R., DeLegge M. H. Acute hemor rhage following transhepatic PEG tube placement. Dige stive diseases and sciences. 2007;52(1):167–169.
33. Volkmer K., Meyer T., Sailer M. et al. Metastasis of an esophageal carcinoma at a PEG site-case report and review of the literature. Zentralblatt für Chirurgie. 2009;134(5): 481–485.
Review
For citations:
Golubev K.V., Topuzov E.E., Oleynik V.V., Stuchevskaya T.R., Gorchakov S.V. General principles for the prevention and treatment of complications of percutaneous endoscopic gastrostomy (review of literature). The Scientific Notes of the Pavlov University. 2019;26(3):25-30. (In Russ.) https://doi.org/10.24884/1607-4181-2019-26-3-25-30
Views:
1066
Email this article 