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KMID : 0359020090390010034
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Korean Journal of Gastrointestinal Endoscopy
2009 Volume.39 No. 1 p.34 ~ p.37
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A Case of Ruptured Left Gastric Artery Pseudoaneurysm Complicating Percutaneous Endoscopic Gastrostomy (PEG)
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Hong Seong-Hun
Cha Jae-Myung
Lee Joung-Il
Joo Kwang-Ro
Jung Sung-Won
Shin Hyun-Phil
Nam Deok-Ho
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Abstract
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Percutaneous endoscopic gastrostomy (PEG) is an effective method for delivering enteral nutrition to patients with dysphagia, cerebrovascular accidents, Parkinsonnism, dementia, and head and neck cancer. PEG is generally regarded as safe and it is associated with low risks of morbidity and mortality. The complications of the PEG are known to be mostly minor and they include wound infection, gastric leakage, bleeding, ileus, pneumoperitoneum and aspiration pneumonia. We recently experienced a ruptured pseudoaneurysm of the left gastric artery, which was occurred as a complication during PEG insertion in a 73-year-old female. To the best of our knowledge, this is the first case report in Korea about successful angiographic embolization for a ruptured pseudoaneurysm of the left gastric artery and this was associated with a PEG procedure.
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KEYWORD
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Percutaneous endoscopic gastrostomy, Left gastric artery, Pseudoaneurysm, Angiographic embolization
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