Unsuccessful Practice of Percutaneous Endoscopic Gastrostomy in an Infant with Gastric Volvulus: a Case Report

Year 2011, Volume: 2011 Issue: 3, 322 - 324, 01.03.2011

Levent Duman , Behçet İlker Büyükyavuz Mustafa Akçam

https://doi.org/10.5174/tutfd.2009.03097.2

Abstract

Percutaneous endoscopic gastrostomy (PEG) is an easy and safe procedure for long-term enteral feeding in children with inadequate
oral intake. Although PEG has been used for treatment of gastric
volvulus in adults, there is a little relevant data for its use in
children. Here, we report a 17-month-old male infant who was admitted to
our hospital with a 1-month history of vomiting. Upper gastrointestinal
contrast study revealed an organoaxial
gastric volvulus. Then PEG was inserted for the purpose of nutritional
support. Because the patient continued to vomit after feeding via
gastrostomy, surgery was planned. Laparotomy revealed that the entry of
the PEG tube was at the posterior wall of the stomach. The gastrostomy
tube was removed, and the opening was repaired. Then the stomach was
repositioned, and Nissen fundoplication and a Stamm gastrostomy at the
anterior wall of the stomach were performed. The patient had no further
episodes of vomiting after surgery and was discharged following an
uneventful recovery period

Keywords

Children, gastric volvulus, percutaneous endoscopic gastrostomy, complication

Unsuccessful Practice of Percutaneous Endoscopic Gastrostomy in an Infant with Gastric Volvulus: a Case Report

Abstract

Percutaneous endoscopic gastrostomy (PEG) is an easy and safe procedure for long-term enteral feeding in children with inadequate oral intake. Although PEG has been used for treatment of gastric volvulus in adults, there is a little relevant data for its use in children. Here, we report a 17-month-old male infant who was admitted to our hospital with a 1-month history of vomiting. Upper gastrointestinal contrast study revealed an organoaxial gastric volvulus. Then PEG was inserted for the purpose of nutritional support. Because the patient continued to vomit after feeding via gastrostomy, surgery was planned. Laparotomy revealed that the entry of the PEG tube was at the posterior wall of the stomach. The gastrostomy tube was removed, and the opening was repaired. Then the stomach was repositioned, and Nissen fundoplication and a Stamm gastrostomy at the anterior wall of the stomach were performed. The patient had no further episodes of vomiting after surgery and was discharged following an uneventful recovery period

Keywords

Children, gastric volvulus, percutaneous endoscopic gastrostomy, complication

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