RESUMEN

Percutaneous Endoscopic Gastrostomy (PEG) is a simple and effective method of enteral nutrition in many patients who cannot take oral food. The accidental dislodgement of the PEG tube after the maturation of the gastro-cutaneous fistula (stoma) is called late dislodgement. If it is not detected early, the stoma lumen gets narrower; and does not permit the passage of the replacement tube. In this case, the commonly followed method is to continue enteral nutrition by opening a new gastro-cutaneous fistula after the complete closing of the original stoma. Here, we present a stoma-saving bougie dilatation method in 3 cases with severely narrowed stomas after late accidental dislodgement of the PEG tube.

Asunto(s)

Fístula Cutánea , Estomas Quirúrgicos , Humanos , Gastrostomía/efectos adversos , Gastrostomía/métodos , Dilatación/efectos adversos , Nutrición Enteral/efectos adversos , Nutrición Enteral/métodos

Asunto(s)

Encefalopatía Hepática , Humanos , Encefalopatía Hepática/diagnóstico , Encefalopatía Hepática/etiología