Transhepatic percutaneous endoscopic gastrostomy


We describe the case of a hepatic injury after the insertion of a PEG. In a cirrhotic woman affected by a locally advanced cancer of the pharynx, the PEG tube was inserted through the edge of the left lobe of the liver. The patient was treated with a conservative approach by managing abdominal pain and the PEG was removed after 4 months without complication. Hepatic injury is a rare complication of PEG placement; in order to avoid it, PEG tube should be inserted to the left of the abdominal midline and the lower edge of the liver should be defined by palpation; in cirrhotic patients, where left hepatic lobe hyper-trophy is common, ultrasound guidance could have been appropriate.

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Poggi, G. , Montagna, B. and Cesare, P. (2013) Transhepatic percutaneous endoscopic gastrostomy. Open Journal of Gastroenterology, 3, 87-88. doi: 10.4236/ojgas.2013.32014.

Conflicts of Interest

The authors declare no conflicts of interest.


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