Clinical investigation of upper gastrointestinal hemorrhage after percutaneous endoscopic gastrostomy

Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society
Shinji NishiwakiKoshiro Saito

Abstract

Upper gastrointestinal (GI) hemorrhage after percutaneous endoscopic gastrostomy (PEG) is sometimes reported as one of the serious complications. Our purpose was to clarify the cause of upper GI hemorrhage after PEG. We retrospectively investigated the causes of upper GI hemorrhage among a total of 416 patients out of 426 consecutive patients who underwent PEG in our institution, excluding 10 patients who showed upper GI tumors on PEG placement. Among 17 patients who developed upper GI hemorrhage after PEG, three and four patients showed PEG tube placement and replacement-related hemorrhage, respectively; these lesions were vascular or mucosal tears around the gastrostomy site. Ten patients experienced 12 episodes of upper GI hemorrhage during PEG tube feeding. The lesions showing bleeding were caused by reflux esophagitis (five patients), gastric ulcer (two patients), gastric erosion due to mucosal inclusion in the side hole of the internal bolster (two patients), and duodenal diverticular hemorrhage (one patient). Anticoagulants were administered in six patients, including four patients with replacement-related hemorrhage and one patient each with reflux esophagitis and gastric ulcer. Reflux esophagitis was the most frequent ...Continue Reading

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Citations

May 24, 2013·Japanese Journal of Clinical Oncology·Yoshitaka InabaTakeshi Sato
Dec 3, 2014·Gastrointestinal Endoscopy Clinics of North America·Ajaypal Singh, Andres Gelrud
Mar 23, 2012·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Nieun SeoKyu-Bo Sung
Apr 5, 2012·Scandinavian Journal of Gastroenterology·John BlombergPernilla Lagergren

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