Year 2016 / Volume 108 / Number 7
Letter to the Editor
Management of non-surgical pneumoperitoneum

444

DOI: 10.17235/reed.2016.4215/2016

Antonio José Fernández-López, Francisco Miguel González Valverde, Marcelino Méndez Martínez,

Abstract
Percutaneous endoscopic gastrostomy (PEG) is the best approach to feeding patients not eligible for oral nutrition who have a functioning digestive system. Pneumoperitoneum after PEG is a relatively common complication. As regards management, the most important decision is whether conservative therapy or an exploratory laparotomy should be indicated. We report the case of a patient with giant pneumoperitoneum following PEG, who was successfully managed with percutaneous air drainage.
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References
1. Valera Sánchez Z, Pareja Ciuró F, Docobo Durantez F, et al. Neumoperitoneo gigante secundario a gastrostomía percutánea endoscópica. Rev esp enferm dig. 2007; 99: 115-22.
2. Lucendo AJ, Friginal-Ruiz AB. Percutaneous endoscopic gastrostomy: An update on its indications, management, complications, and care. Rev Esp Enferm Dig. 2014; 106: 529-39.
4. García-Santos E, Puerto-Puerto A, Sánchez-García S, et al. Síndrome compartimental abdominal por neumoperitoneo a tensión secundario a barotrauma. Presentación de un caso. Cir Cir. 2015; 83: 429-32. DOI:10.1016/j.circir.2015.05.046
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Fernández-López A, González Valverde F, Méndez Martínez M. Management of non-surgical pneumoperitoneum. 4215/2016


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Publication history

Received: 21/01/2016

Accepted: 02/02/2016

Online First: 07/03/2016

Published: 11/07/2016

Article Online First time: 46 days

Article editing time: 172 days


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