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KMID : 0359020110420010052
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.42 No. 1 p.52 ~ p.56
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Diagnosis of a Transverse Colon Penetration and Tube Displacement 4 Months after Percutaneous Radiologic Gastrostomy
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Hong Jong-Sam
Han Koon-Hee
Lee Hong-Yeul
Park Jong-Kyu
Lee Sang-Jin
Kim Young-Don
Jeong Woo-Jin
Cheon Gab-Jin
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Abstract
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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.
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KEYWORD
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Percutaneous radiologic gastrostomy, Colon penetration
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