Japanese

A case of laparoscopic surgery for ileus caused by misplacement of percutaneous endoscopic gastrostomy passed through the mesentery of the small bowel Soichi TAGAMI 1 , Mizuho MACHIDA 1 , Masahiro SAKON 1 , Hitoshi SEKI 1 , Ken HAYASHI 1 , Yasuhiro MUNAKATA 1 1Department of Surgery, Nagano Municipal Hospital Keyword: 内視鏡的胃瘻造設術(PEG) , イレウス , 腹腔鏡下手術 pp.281-286
Published Date 2014/5/15
DOI https://doi.org/10.11477/mf.4426101094
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This is a case showing the efficiency of laparoscopic surgery for ileus caused by misplacement of percutaneous endoscopic gastrostomy(PEG). A 73-year-old man underwent PEG because of pseudobulbar palsy by putamen hemorrhage at the former hospital. Eight months later, he was admitted to our hospital with a diagnosis of aspiration pneumonia due to ileus. Abdominal CT indicated a whirl sign near PEG. Contrasting image from intestinal tube indicated obstruction of small bowel at the narrowing to PEG. Laparoscopic operation revealed that PEG was placed, passing through the mesentery of the small bowel. After dividing the fistula, the PEG was renewed. Laparoscopic surgery is an efficient and minimally invasive treatment for ileus caused from PEG complication.


Copyright © 2014, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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