Case Report
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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
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










References

  • 1. Tanner NC. Chronic and recurrent volvulus of the stomach. Am J Surg 1968;115:105-9. [CrossRef]
  • 2. Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg 1980;15:872-5. [CrossRef]
  • 3. Gauderer MW. Percutaneous endoscopic gastrostomy-20 years later: a historical perspective. J Pediatr Surg 2001;36:217-9. [CrossRef]
  • 4. Yu SC, Petty JK, Bensard DD, Partrick DA, Bruny JL, Hendrickson RJ. Laparoscopic-assisted percutaneous endoscopic gastrostomy in children and adolescents. JSLS 2005;9:302-4.
  • 5. Eckhauser ML, Ferron JP. The use of dual percutaneous endoscopic gastrostomy (DPEG) in the management of chronic intermittent gastric volvulus. Gastrointest Endosc 1985;31:340-2. [CrossRef]
  • 6. Behrens R, Lang T, Muschweck H, Richter T, Hofbeck M. Percutaneous endoscopic gastrostomy in children and adolescents. J Pediatr Gastroenterol Nutr 1997;25:487-91. [CrossRef]
  • 7. Patwardhan N, McHugh K, Drake D, Spitz L. Gastroenteric fistula complicating percutaneous endoscopic gastrostomy. J Pediatr Surg 2004;39:561-4. [CrossRef]
  • 8. Croaker GDH, Najmaldin AS. Laparoscopically assisted percutaneous endoscopic gastrostomy. Pediatr Surg Int 1997;12:130-1. [CrossRef]
  • 9. Grunow JE, al-Hafidh A, Tunell WP. Gastroesophageal reflux following percutaneous endoscopic gastrostomy in children. J Pediatr Surg 1989;24:42-5. [CrossRef]
  • 10. Razeghi S, Lang T, Behrens R. Influence of percutaneous endoscopic gastrostomy on gastroesophageal reflux: a prospective study in 68 children. J Pediatr Gastroenterol Nutr 2002;35:27-30. [CrossRef]
  • 11. Ponsky JL, Aszodi A. Percutaneous endoscopic jejunostomy. Am J Gastroenterol 1984;79:113-6. [CrossRef]
  • 12. Jolley SG, Tunell WP, Hoelzer DJ, Thomas S, Smith EI. Lower esophageal pressure changes with tube gastrostomy: a causative factor of gastroesophageal reflux in children? J Pediatr Surg 1986;21:624-7. [CrossRef]

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
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






References

  • 1. Tanner NC. Chronic and recurrent volvulus of the stomach. Am J Surg 1968;115:105-9. [CrossRef]
  • 2. Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg 1980;15:872-5. [CrossRef]
  • 3. Gauderer MW. Percutaneous endoscopic gastrostomy-20 years later: a historical perspective. J Pediatr Surg 2001;36:217-9. [CrossRef]
  • 4. Yu SC, Petty JK, Bensard DD, Partrick DA, Bruny JL, Hendrickson RJ. Laparoscopic-assisted percutaneous endoscopic gastrostomy in children and adolescents. JSLS 2005;9:302-4.
  • 5. Eckhauser ML, Ferron JP. The use of dual percutaneous endoscopic gastrostomy (DPEG) in the management of chronic intermittent gastric volvulus. Gastrointest Endosc 1985;31:340-2. [CrossRef]
  • 6. Behrens R, Lang T, Muschweck H, Richter T, Hofbeck M. Percutaneous endoscopic gastrostomy in children and adolescents. J Pediatr Gastroenterol Nutr 1997;25:487-91. [CrossRef]
  • 7. Patwardhan N, McHugh K, Drake D, Spitz L. Gastroenteric fistula complicating percutaneous endoscopic gastrostomy. J Pediatr Surg 2004;39:561-4. [CrossRef]
  • 8. Croaker GDH, Najmaldin AS. Laparoscopically assisted percutaneous endoscopic gastrostomy. Pediatr Surg Int 1997;12:130-1. [CrossRef]
  • 9. Grunow JE, al-Hafidh A, Tunell WP. Gastroesophageal reflux following percutaneous endoscopic gastrostomy in children. J Pediatr Surg 1989;24:42-5. [CrossRef]
  • 10. Razeghi S, Lang T, Behrens R. Influence of percutaneous endoscopic gastrostomy on gastroesophageal reflux: a prospective study in 68 children. J Pediatr Gastroenterol Nutr 2002;35:27-30. [CrossRef]
  • 11. Ponsky JL, Aszodi A. Percutaneous endoscopic jejunostomy. Am J Gastroenterol 1984;79:113-6. [CrossRef]
  • 12. Jolley SG, Tunell WP, Hoelzer DJ, Thomas S, Smith EI. Lower esophageal pressure changes with tube gastrostomy: a causative factor of gastroesophageal reflux in children? J Pediatr Surg 1986;21:624-7. [CrossRef]
There are 12 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Levent Duman

Behçet İlker Büyükyavuz This is me

Mustafa Akçam This is me

Publication Date March 1, 2011
Published in Issue Year 2011 Volume: 2011 Issue: 3

Cite

APA Duman, L., Büyükyavuz, B. İ., & Akçam, M. (2011). Unsuccessful Practice of Percutaneous Endoscopic Gastrostomy in an Infant with Gastric Volvulus: a Case Report. Balkan Medical Journal, 2011(3), 322-324. https://doi.org/10.5174/tutfd.2009.03097.2
AMA Duman L, Büyükyavuz Bİ, Akçam M. Unsuccessful Practice of Percutaneous Endoscopic Gastrostomy in an Infant with Gastric Volvulus: a Case Report. Balkan Medical Journal. March 2011;2011(3):322-324. doi:10.5174/tutfd.2009.03097.2
Chicago Duman, Levent, Behçet İlker Büyükyavuz, and Mustafa Akçam. “Unsuccessful Practice of Percutaneous Endoscopic Gastrostomy in an Infant With Gastric Volvulus: A Case Report”. Balkan Medical Journal 2011, no. 3 (March 2011): 322-24. https://doi.org/10.5174/tutfd.2009.03097.2.
EndNote Duman L, Büyükyavuz Bİ, Akçam M (March 1, 2011) Unsuccessful Practice of Percutaneous Endoscopic Gastrostomy in an Infant with Gastric Volvulus: a Case Report. Balkan Medical Journal 2011 3 322–324.
IEEE L. Duman, B. İ. Büyükyavuz, and M. Akçam, “Unsuccessful Practice of Percutaneous Endoscopic Gastrostomy in an Infant with Gastric Volvulus: a Case Report”, Balkan Medical Journal, vol. 2011, no. 3, pp. 322–324, 2011, doi: 10.5174/tutfd.2009.03097.2.
ISNAD Duman, Levent et al. “Unsuccessful Practice of Percutaneous Endoscopic Gastrostomy in an Infant With Gastric Volvulus: A Case Report”. Balkan Medical Journal 2011/3 (March 2011), 322-324. https://doi.org/10.5174/tutfd.2009.03097.2.
JAMA Duman L, Büyükyavuz Bİ, Akçam M. Unsuccessful Practice of Percutaneous Endoscopic Gastrostomy in an Infant with Gastric Volvulus: a Case Report. Balkan Medical Journal. 2011;2011:322–324.
MLA Duman, Levent et al. “Unsuccessful Practice of Percutaneous Endoscopic Gastrostomy in an Infant With Gastric Volvulus: A Case Report”. Balkan Medical Journal, vol. 2011, no. 3, 2011, pp. 322-4, doi:10.5174/tutfd.2009.03097.2.
Vancouver Duman L, Büyükyavuz Bİ, Akçam M. Unsuccessful Practice of Percutaneous Endoscopic Gastrostomy in an Infant with Gastric Volvulus: a Case Report. Balkan Medical Journal. 2011;2011(3):322-4.