PERCUTANEOUS GASTROPEXY: A NOVEL APPROACH TO A FEARED COMPLICATION OF PERCUTANEOUS GASTROSTOMY TUBE PLACEMENT
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
Published In/Presented At
Relles, D. Oh, P. S., Zitsman, J. (2015, April 14-18). PERCUTANEOUS GASTROPEXY: A NOVEL APPROACH TO A FEARED COMPLICATION OF PERCUTANEOUS GASTROSTOMY TUBE PLACEMENT. Poster Presented at: The IPEG's 24th Annual Congress for Endosurgery in Children, Nashville, Tennessee.
Department of Surgery, Department of Surgery Faculty