Shozo Osera1,2, Tomonori Yano3, Tomoyuki Odagaki4, Yasuhiro Oono4, Hiroaki Ikematsu4, Atsushi Ohtsu5, Kazuhiro Kaneko4. 1. Endoscopy Division, Department of Gastroenterology and GI Oncology, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, 277-8577, Japan. shou0122@hotmail.com. 2. Juntendo University Graduate School of Medicine, Tokyo, Japan. shou0122@hotmail.com. 3. Endoscopy Division, Department of Gastroenterology and GI Oncology, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, 277-8577, Japan. toyano@east.ncc.go.jp. 4. Endoscopy Division, Department of Gastroenterology and GI Oncology, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, 277-8577, Japan. 5. Juntendo University Graduate School of Medicine, Tokyo, Japan.
Abstract
BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) using the direct method is generally indicated for cancer patients. However, there are little available data about peritonitis related to this method. The aim of this retrospective analysis was to assess peritonitis related to PEG using the direct method in patients with cancer. METHODS: We assessed the prevalence of peritonitis and the relationship between peritonitis and patients' backgrounds, as well as the clinical course after peritonitis. RESULTS: Between December 2008 and December 2011, peritonitis was found in 9 (2.1 %) of 421 patients. Of the 9 patients with peritonitis, 4 had received PEG prior to chemoradiotherapy. Emergency surgical drainage was required in 1 patient, and the remaining 8 recovered with conservative treatment. Peritonitis occurred within 8 days of PEG for 8 of the 9 patients and occurred within 2 days of suture removal for 4 of the 9 patients. CONCLUSION: Peritonitis related to PEG using the direct method was less frequent for cancer patients. Peritonitis tended to occur within a few days after removal of securing suture and in patients with palliative stage.
BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) using the direct method is generally indicated for cancerpatients. However, there are little available data about peritonitis related to this method. The aim of this retrospective analysis was to assess peritonitis related to PEG using the direct method in patients with cancer. METHODS: We assessed the prevalence of peritonitis and the relationship between peritonitis and patients' backgrounds, as well as the clinical course after peritonitis. RESULTS: Between December 2008 and December 2011, peritonitis was found in 9 (2.1 %) of 421 patients. Of the 9 patients with peritonitis, 4 had received PEG prior to chemoradiotherapy. Emergency surgical drainage was required in 1 patient, and the remaining 8 recovered with conservative treatment. Peritonitis occurred within 8 days of PEG for 8 of the 9 patients and occurred within 2 days of suture removal for 4 of the 9 patients. CONCLUSION:Peritonitis related to PEG using the direct method was less frequent for cancerpatients. Peritonitis tended to occur within a few days after removal of securing suture and in patients with palliative stage.
Entities:
Keywords:
Direct method; Percutaneous endoscopic gastrostomy; Peritonitis
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