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Use of a venting PEG tube in the management of recurrent acute gastric dilatation associated with Prader-Willi syndrome
Mohammed, Ahmed M.A.
Mohammed, Ahmed M.A.
Abstract
A patient with Prader-Willi Syndrome was admitted to the ICU with features of recurrent acute gastric dilatation, aspiration pneumonia and a massive pulmonary embolus. He was initially managed with intubation, assisted ventilation, intravenous fluids and anticoagulation. Decompression of the stomach was achieved with a nasogastric tube. After ventilator weaning, he did not tolerate the nasogastric intubation that led to a further episode of aspiration pneumonia as a result of non-resolving gastric dilatation. He required readmission to intensive care for a further period of ventilatory support. While the patient was sedated and ventilated, a venting percutaneous endoscopic gastrostomy (PEG) with a jejunal feeding extension was placed, permitting both continued decompression of the stomach and enteral feeding. The patient tolerated the PEG-J well and his nutritional needs were successfully addressed. Oral intake was slowly re-established with ongoing decompression of the stomach with the PEG. He was discharged from hospital with the PEG in place.
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2016-01
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Mohammed 2016 1-2.pdf
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Mohammed, A, & Dennis, R 2016, Use Of A Venting PEG Tube In The Management Of Recurrent Acute Gastric Dilatation Associated With Prader-Willi Syndrome. J Surg Case Rep. 2016 Jan 12;2016(1).
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