Percutaneous Endoscopic Gastrostomy Tube Insertion in Patient With Situs Inversus Totalis.
| Autor: | Hamid A; Gastroenterology and Hepatology, Hamad Medical Corporation, Doha, QAT., Almohannadi M; Gastroenterology and Hepatology, Hamad Medical Corporation, Doha, QAT., Badi A; General Internal Medicine, Hamad Medical Corporation, Doha, QAT., Varughese B; Gastroenterology and Hepatology, Hamad Medical Corporation, Doha, QAT., Al Kaabi SRM; Gastroenterology, Hamad Medical Corporation, Doha, QAT. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2021 Apr 23; Vol. 13 (4), pp. e14650. Date of Electronic Publication: 2021 Apr 23. |
| DOI: | 10.7759/cureus.14650 |
| Abstrakt: | Situs inversus totalis (SIT) is a rare congenital condition in which the abdominal and thoracic organs are completely reversed from right to left, and their diagnosis is usually incidental. However, patients with SIT need a comprehensive radiological evaluation before undertaking any invasive procedures. Percutaneous endoscopic gastrostomy (PEG) insertion is an effective procedure for enteral feeding in patients with difficulty swallowing. Many post-procedural complications have been reported after the PEG procedure. We performed PEG insertion in an 85-year-old Qatari SIT patient, who was admitted to the hospital as a case of aspiration pneumonia and on nasogastric feeding tube (NGT). The procedure was started while the patient was in left lateral decubitus position as in normal anatomy patients after careful examination and in accordance with the general principles of PEG insertion. No complications were seen, neither intraoperative nor postoperative in two months follow-up. We suggest that in a patient with SIT, PEG insertion can be performed while the patient is in left decubitus position with no additional risk or extra intraoperative time if the pre-operative anatomical position of vital organs is carefully evaluated. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Hamid et al.) |
| Databáze: | MEDLINE |
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