An unusual complication of PEG feeding after pancreatico-gastrostomy.
| Autor: | Phillips M; Royal Surrey County Hospital, Guildford, UK. mary.phillips1@nhs.net., Hosie K, Griffiths EJ, Low N, Gallagher MC, Tibbs CJ, Karanjia ND |
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| Jazyk: | angličtina |
| Zdroj: | JOP : Journal of the pancreas [JOP] 2014 May 27; Vol. 15 (3), pp. 258-60. Date of Electronic Publication: 2014 May 27. |
| DOI: | 10.6092/1590-8577/2269 |
| Abstrakt: | Context: We describe a late complication of the pancreatico-gastrostomy (PG) anastomosis following pancreatico-duodenectomy (PD). Case Report: A percutaneous endoscopic gastrostomy (PEG) feeding tube was inserted many months post-operatively. In this patient activated pancreatic enzymes eroded the gastrostomy tract, resulting in pain, recurrent infection and eventual removal of the gastrostomy tube. Conclusions: Where surgical insertion of a feeding jejunostomy is not viable or deemed too high risk after Whipple or PPPD, we recommend careful consideration of PEG tube insertion in patients with PG reconstruction. If a PEG is used the prophylactic use of Lanreotide is recommended. |
| Databáze: | MEDLINE |
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