Prolonged duodenal paralysis after PEG placement in a patient with traumatic brain injury: a case report.
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.
Chapter: High Level of Intra-Gastric Pressure is Risk Factor for Patients with Percutaneous Endoscopic Gastrostomy (PEG)12/2011; , ISBN: 978-953-307-365-1