TITLE

Percutaneous Endoscopic Gastrostomy in Patients with an Open Abdomen

AUTHOR(S)
Block, Ernest F.J.; Cheatham, Michael L.; Bee, Tiffany K.
PUB. DATE
September 2001
SOURCE
American Surgeon;Sep2001, Vol. 67 Issue 9, p913
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Percutaneous endoscopic gastrostomy is a commonly performed procedure for enteral access. In the past decade surgeons have used the open abdomen technique with increased frequency for the treatment of intra-abdominal compartment syndrome. Because these patients often have associated malnutrition long-term enteral access is complicated by the massive ventral hernia. We reviewed the records of two patients with an open abdomen who needed long-term enteral access. Both patients had a large midabdominal soft tissue defect, which posed a concern about the technique for gastrostomy creation. Both patients underwent percutaneous endoscopic gastrostomy. In each case the entrance site was located on a portion of intact abdominal wall lateral to the open abdomen tissue defect. No intraoperative or postoperative complications were noted. We conclude that percutaneous endoscopic gastrostomy can be safely performed in patients with an open abdomen. Adherence to standard principles of performing percutaneous endoscopic gastrostomy allows for enteral access in these patients.
ACCESSION #
5157138

 

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