Percutaneous endoscopic gastrostomy for gastric decompression after repeated intestinal obstruction after open abdominal surgery

Yoichi Sakurai, Harumi Kimura, Risaburo Sunagawa, Shinpei Furuta, Kazuki Inaba, Jun Isogaki, Yoshiyuki Komori, Ichiro Uyama

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

In patients with repeated intestinal obstructions after open abdominal surgery, aerophagia associated with disturbances in gastrointestinal passage causes the accumulation of large amounts of air, resulting in chronic symptoms including abdominal pain and distention and consequently malnutrition. We successfully used percutaneous endoscopic gastrostomy (PEG) for long-term gastric decompression in 2 cases with aerophagia. The first case was a 69-year-old Japanese man admitted for repeated intestinal obstruction after an appendectomy. After the last surgery for intestinal obstruction, the patient experienced repeated abdominal distention and anorexia, resulting in weight loss and malnutrition. The second case was a 79-year-old man complaining of abdominal pain and distention. He had a history of resection of the lower pharynx and larynx owing to total laryngectomy and had received a permanent tracheostomy. He then underwent surgery for intestinal obstruction. Because the patients' abdominal symptoms were unresponsive to administration of a peristalsis stimulant and a laxative, we performed PEG to deflate the gastrointestinal tract. An abdominal x-ray taken after the PEG placement showed the elimination of the gas and a remarkable improvement in the gastric dilatation, and the abdominal symptoms soon disappeared. These cases highlight the clinical importance and usefulness of PEG for gastric decompression in patients with aerophagia associated with repeated intestinal obstruction.

Original languageEnglish
Pages (from-to)604-607
Number of pages4
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume18
Issue number6
DOIs
Publication statusPublished - 01-12-2008

All Science Journal Classification (ASJC) codes

  • Surgery

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