Korean J Gastrointest Endosc > Volume 38(5); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;38(5): 266-269.
경피 내시경하 위루술 후 발생한 피하공기증 1예
가톨릭대학교 의과대학 내과학교실
A Case of Subcutaneous Emphysema Following Percutaneous Endoscopic Gastrostomy
Gwang Il Seo, M.D., Jeong Rok Lee, M.D., Woo Chul Chung, M.D., Ju Huyn Oak, M.D., Jin Dong Kim, M.D., Chang Nyol Paik, M.D., Kang-Moon Lee, M.D. and Jin Mo Yang, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Suwon, Korea
Percutaneous endoscopic gastrostomy (PEG) has widely accepted for providing safe, long-term enteral nutrition for patients with swallowing disabilities. Though safe and technically simple, this procedure is often associated with some complications, such as wound infection, bleeding, stroma leaks and tube transposition. Major complications are rare and these include aspiration pneumonia, perforations, peritonitis and necrotizing fasciitis. We report here on a patient who developed extensive subcutaneous emphysema with hemoperitoneum and peritonitis following PEG. Medical treatment without removal of the PEG led to resolution of the emphysema and the peritonitis and successful PEG feeding. (Korean J Gastrointest Endosc 2009;38:266-269)
Key Words: Percutaneous endoscopic gastrostomy, Subcutaneous emphysema, Hemoperitoneum
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