Title

PERCUTANEOUS GASTROPEXY: A NOVEL APPROACH TO A FEARED COMPLICATION OF PERCUTANEOUS GASTROSTOMY TUBE PLACEMENT

Publication/Presentation Date

4-2015

Abstract

Percutaneous endoscopic gastrostomy (PEG) tubes are commonly placed due to the ease and safety of the technique. Although uncommon, complications of this routine procedure can be catastraophic.

A 13 month old former premature male developed peritonitis several hours after PEG placement. Following resuscitation, he was brought to the operating room where he was found to have diffuse peritonitis with ascites on initial laparoscopy. The PEG tube was in the stomach; we felt we could salvage the PEG by performing a gastropexy laparoscopically.

In addition to the 5mm laparoscope port, two additional 4 mm ports were used to place 3 percutaneous sutures through the anterior abdominal wall. These were bolstered to the skin, and the patient did well post-operatively. The sutures were removed 15 days following the procedure. This video demonstrates a novel approach to addressing a complication of gastrostomy tube placement

Disciplines

Surgery

Department(s)

Department of Surgery, Department of Surgery Faculty

Document Type

Poster

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