TY - JOUR
T1 - Conservative management of gastric emphysema and hepatic portal venous gas
T2 - A case report
AU - Iwamuro, Masaya
AU - Okamoto, Yuki
AU - Kanzaki, Hiromitsu
AU - Kawano, Seiji
AU - Tanabe, Shunsuke
AU - Yamamoto, Hiromasa
AU - Kawahara, Yoshiro
AU - Okada, Hiroyuki
N1 - Publisher Copyright:
© 2018 Japanese Society of Gastroenterology. All rights reserved.
PY - 2018
Y1 - 2018
N2 - A 69-year-old Japanese man underwent successful percutaneous endoscopic gastrostomy (PEG) without any intra-procedural adverse event. However, 3 days postoperatively, he presented with melena and bloody discharge from the gastrostomy tube. Computed tomography revealed gastric emphysema, hepatic portal venous gas, portal vein thrombosis, and swelling of the ascending colon. We administered antibiotics and discontinued enteral feeding; this resulted in resolution of gastric emphysema, hepatic portal venous gas, and portal vein thrombosis and an improvement in the swelling of the ascending colon. To the best of our knowledge, till date, only three patients have been reported to develop gastric emphysema and hepatic portal venous gas after PEG. All previously reported patients were treated with antibiotics and/or discontinuation of enteral feeding, exhibiting recovery within 6-14 days. Although the occurrence of gastric emphysema and hepatic portal venous gas after a PEG procedure is rare, conservative management can ensure recovery in such patients.
AB - A 69-year-old Japanese man underwent successful percutaneous endoscopic gastrostomy (PEG) without any intra-procedural adverse event. However, 3 days postoperatively, he presented with melena and bloody discharge from the gastrostomy tube. Computed tomography revealed gastric emphysema, hepatic portal venous gas, portal vein thrombosis, and swelling of the ascending colon. We administered antibiotics and discontinued enteral feeding; this resulted in resolution of gastric emphysema, hepatic portal venous gas, and portal vein thrombosis and an improvement in the swelling of the ascending colon. To the best of our knowledge, till date, only three patients have been reported to develop gastric emphysema and hepatic portal venous gas after PEG. All previously reported patients were treated with antibiotics and/or discontinuation of enteral feeding, exhibiting recovery within 6-14 days. Although the occurrence of gastric emphysema and hepatic portal venous gas after a PEG procedure is rare, conservative management can ensure recovery in such patients.
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M3 - Article
C2 - 29998988
AN - SCOPUS:85050979431
SN - 0446-6586
VL - 115
SP - 655
EP - 661
JO - Japanese Journal of Gastroenterology
JF - Japanese Journal of Gastroenterology
IS - 7
ER -