Article

Prolonged duodenal paralysis after PEG placement in a patient with traumatic brain injury: a case report.

Rehabilitation Medicine Unit, Geriatric-Rehabilitation Department, University Hospital of Parma, Parma, Italy.
European journal of physical and rehabilitation medicine (impact factor: 1.4). 10/2010; 47(1):49-51. pp.49-51
Source: PubMed

ABSTRACT Percutaneous endoscopic gastrostomy (PEG) has recently become a usual procedure for patients with prolonged disorders of consciousness after brain injuries. Despite a high rate of success and a very low procedure-related mortality, morbidity associated to PEG placement reaches 9.4% in a recent large meta-analysis. This case report describes an uncommon complication of PEG placement in a patient with vegetative state after traumatic brain injury: the development of prolonged duodenal paralysis. This patient was treated by placement of a transient jejunostomy until recovery of duodenal functional activity, to permit adequate nutrition. This procedure-related complication is previously unreported in scientific literature.

0 0
 · 
0 Bookmarks
 · 
22 Views
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

adequate nutrition
 
brain injuries
 
case report
 
duodenal functional activity
 
low procedure-related mortality
 
PEG
 
PEG placement
 
Percutaneous endoscopic gastrostomy
 
procedure-related complication
 
recent large meta-analysis
 
uncommon complication
 
usual procedure
 
vegetative state
 

P Mammi