Laparoscopically-Assisted Elimination of Postoperative Complications of Percutaneous Endoscopic Gastrostomy
https://doi.org/10.23934/2223-9022-2021-10-4-808-812
Abstract
Percutaneous endoscopic gastrostomy (PEG) is widely used in a group of patients with dysphagia syndrome who require nutritional support with enteral nutrition. In the above observation, a severe complication of PEG is secondary non-circumscribed serous-purulent peritonitis, which developed in connection with the failure of PEG, against the background of cachexia, hypoproteinemia and hypercatabolism. The operation of choice was video laparoscopic surgery, revision and sanitation of the abdominal cavity was performed. The main stage of the operation was gastropexy (the stomach wall to the parietal peritoneum) with three vicryl sutures, which made it possible to seal the gastrostomy area.
About the Authors
M. Kh. Gurtsiyev
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department
Russian Federation
Russian Federation
Endoscopist, Department of Endoscopy and Intraluminal Surgery,
3 Bolshaya Sukharevskaya Square, Moscow 129090
P. A. Yartsev
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Head of the Scientific Department of the Department of Emergency Surgery, Endoscopy and Intensive Care,
3 Bolshaya Sukharevskaya Square, Moscow 129090
Yu. S. Teterin
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department
Russian Federation
Russian Federation
Candidate of Medical Sciences, Head of the Department of Endoscopy and Intraluminal Surgery,
3 Bolshaya Sukharevskaya Square, Moscow 129090
A. M. Gasanov
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department
Russian Federation
Russian Federation
Candidate of Medical Sciences, Senior Researcher, Department of Endoscopy and Intraluminal Surgery,
3 Bolshaya Sukharevskaya Square, Moscow 129090
S. Zh. Antonyan
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department
Russian Federation
Russian Federation
Candidate of Medical Sciences, Senior Researcher of the Department of Emergency Surgery and Operative Oncology,
3 Bolshaya Sukharevskaya Square, Moscow 129090
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Review
For citations:
Gurtsiyev M.Kh., Yartsev P.A., Teterin Yu.S., Gasanov A.M., Antonyan S.Zh. Laparoscopically-Assisted Elimination of Postoperative Complications of Percutaneous Endoscopic Gastrostomy. Russian Sklifosovsky Journal "Emergency Medical Care". 2021;10(4):808-812. https://doi.org/10.23934/2223-9022-2021-10-4-808-812
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