Abstract
We experienced nine cases of gastric mucosal injury due to Mallory-Weiss syndrome during percutaneous endoscopic gastrostomy (PEG). Six cases (66.7%) were over 80 years of age and the locations of the mucosal injury were the lesser curvature in from the body to the cardia. Seven cases (77.8%) had atrophic gastric mucosa. Vomiting did not occur during the PEG procedure in any of the patients. Although gastric expansion by maximum air insufflation with endoscopy is necessary for successful PEG, it may cause gastric mucosal injury.