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1980 Ponsky Gauderer.

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(Foutch PG, Talbert GA, Waring JP, Sanowski RA. Percutaneous endoscopic gastrostomy in patients with prior
(Bender JS. Percutaneous endoscopic gastrostomy placement in the morbidly obese. Gastrointest Endosc 1992; 38:97.)

abdominal surgery: virtues of the safe tract. Am J Gastroenterol 1988; 83:147.)



- (Samuel M, Holmes K. Quantitative and
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qualitative analysis of gastroesophageal reflux after percutaneous endoscopic


gastrostomy. J Pediatr Surg 2002;37:256-261.)

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(Kynci JA, Chodash HB, Tsang TK. PEG in a patient with ascites and varices. Gastrointest Endosc 1995; 42:100.)


/ 26 - Shaheen NJ, Crosby MA, Grimm IS, Isaacs K. The use of
percutaneous endoscopic gastrostomy in pregnancy. Gastrointest Endosc 1997; 46:564.

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180-360
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Bechtold ML, Matteson ML, Choudhary A, et al. Early versus delayed feeding after
placement of a percutaneous endoscopic gastrostomy: a meta-analysis. Am J
Gastroenterol 2008; 103:2919.

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Prevention and management of complications from percutaneous endoscopic gastrostomy


Mark H DeLegge, MD, FACG, AGAF, Section Editors
John R Saltzman, MD, FACP, FACG, Timothy O Lipman, MD Deputy Editor, Anne C Travis, MD, MSc,
FACG

28.11.2012

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30-45.
(Vivyenne Roche, MD Percutaneous endoscopic gastrostomy. Clinical care of PEG tubes in older adults).

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(25 /; 1 /)
( 30 / 1 /)
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- ( 6 ,
250 )
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( 200 )

NB!

30-60 ! ( !)
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!!!)

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16% (314 - 3% 13%
) Larson DE, Burton DD, Schroeder KW, DiMagno EP. Percutaneous endoscopic
gastrostomy. Indications, success, complications, and mortality in 314 consecutive patients. Gastroenterology 1987;
93:48.

70% (97 - 88% 12%


) Taylor CA, Larson DE, Ballard DJ, et al. Predictors of outcome
after percutaneous endoscopic gastrostomy: a community-based study. Mayo Clin Proc 1992; 67:1042.

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Raha SK, Woodhouse K. The use of
percutaneous endoscopic gastrostomy (PEG) in 161 consecutive elderly patients. Age Ageing 1994; 23:162.

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Buried bumper

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18% 3%!!!!!!!!
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Sharma VK, Howden CW. Meta-analysis of randomized, controlled trials of antibiotic prophylaxis before percutaneous
endoscopic gastrostomy. Am J Gastroenterol 2000; 95:3133.
Ahmad I, Mouncher A, Abdoolah A, et al. Antibiotic prophylaxis for percutaneous endoscopic gastrostomy--a prospective,
randomised, double-blind trial. Aliment Pharmacol Ther 2003; 18:209.
Jafri NS, Mahid SS, Minor KS, et al. Meta-analysis: antibiotic prophylaxis to prevent peristomal infection following percutaneous
endoscopic gastrostomy. Aliment Pharmacol Ther 2007; 25:647.


(leakage) 1-2%. (Lin JS, Ibrahim HZ, Kheng JW, Fee WE, Terris
DJ. Percutaneous endoscopic gastrostomy: strategies for prevention and management of complications. Laryngoscope 2001; 111: 18471852). !!!

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- ( )
 (Lynch CR, Fang JC. Prevention and management of complications of
percutaneous endoscopic gastrostomy (PEG) tubes. Pract Gastroentrol 2004;28:66-76)

(Schapiro GD, Edmundowicz SA.


Complications of percutaneous endoscopic gastrostomy. Gastrointest Endosc Clin N Am 1996;6: 409-422)

(
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- 15%. (Schapiro GD, Edmundowicz SA. Complications of percutaneous endoscopic gastrostomy. Gastrointest
Endosc Clin N Am 1996;6: 409-422)

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50%.
Hillman KM. Pneumoperitoneum a review. Crit Care Med 1982;10:476-481.
Gottfried EB, Plummser AB, Clair MR. Pneumoperitoneum following percutaneous endoscopic gastrostomy. A prospective
study. Gastrointest Endosc 1986;32:397-399.
Wojtowycz MM, Arata JA Jr, Micklos TJ, Miller FJ Jr. CT findings after uncomplicated percutaneous gastrostomy. Am J
Roentgenol 1988;151:307-309.

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1-2% . Larson DE, Burton DD, Schroeder KW, DiMagno EP. Percutaneous endoscopic
gastrostomy. Indications, success, complications, and mortality in 314 consecutive patients. Gastroenterology 1987; 93: 48-52.

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Alawadhi A, Chou S, Soucy P. Gastric volvulus - a late complication of gastrostomy. Can J Surg 1991; 34: 485-486.

Al-Homaidhi HS, Tolia V. Transverse colon volvulus around the gastrostomy tube site. J Pediatr Gastroenterol Nutr 2001; 33:623625.
Senac MO Jr, Lee FA. Small-bowel volvulus as a complication of gastrostomy. Radiology 1983; 149: 136.
Sookpotarom P, Vejchapipat P, Chongsrisawat V, Mahayosnond A. Gastric volvulus caused by percutaneous endoscopic
gastrostomy: a case report. J Pediatr Surg 2005; 40: e21-23.


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24-72 .
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1.

Gonzlez-Ojeda A, Avalos-Gonzlez J, Mucio-Hernndez MI, et al. Fibrin glue as


adjuvant treatment for gastrocutaneous fistula after gastrostomy tube removal.
Endoscopy 2004; 36:337.

2. Hameed H, Kalim S, Khan YI. Closure of a nonhealing gastrocutanous fistula using


argon plasma coagulation and endoscopic hemoclips. Can J Gastroenterol 2009;
23:217.
3. Teitelbaum JE, Gorcey SA, Fox VL. Combined endoscopic cautery and clip closure of
chronic gastrocutaneous fistulas. Gastrointest Endosc 2005; 62:432.
4. Peter S, Geyer M, Beglinger C. Persistent gastrocutaneous fistula after percutaneous
gastrostomy tube removal. Endoscopy 2006; 38:539.

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Lau G, Lai SH. Fatal retroperitoneal haemorrhage: an unusual complication of percutaneous
endoscopic gastrostomy. Forensic Sci Int 2001; 116:69.
Schurink CA, Tuynman H, Scholten P, et al. Percutaneous endoscopic gastrostomy: complications
and suggestions to avoid them. Eur J Gastroenterol Hepatol 2001; 13:819.
Chong C, Derigo L, Brown D. Massive gastric bleeding: a rarely seen subacute complication of
percutaneous endoscopic gastrostomy. Intern Med J 2007; 37:787.


. 48 !!!!

Fatal intra-abdominal haemorrhage following percutaneous endoscopic gastrostomy


Emma Smale1,
Andrew M Davison2,
Marc Smith2,
Ceris Pritchard3
+ Author Affiliations
1 University Hospital of Wales, Department of Histopathology, Heath Park, Cardiff, CF14 4XW, UK 2 University Hospital of Wales, Department of Forensic Medicine,
Heath Park, Cardiff, CF14 4XW, UK 3 University Hospital of Wales, Department of Gastroenterology, Heath Park, Cardiff, CF14 4XW, UK
Emma Smale, emmalouisesmale@hotmail.com
Published 19 August 2009

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NB! .

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Cave DR, Robinson WR, Brotschi EA. Necrotizing fasciitis following percutaneous endoscopic gastrostomy.
Gastrointest Endosc 1986; 32:294.
Martindale R, Witte M, Hodges G, et al. Necrotizing fasciitis as a complication of percutaneous endoscopic
gastrostomy. JPEN J Parenter Enteral Nutr 1987; 11:583.

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BJMP 2009:2(2) 46-47


1,6-4,4%.
10 .
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