Abstract
Percutaneous Endoscopic Gastrostomy (PEG) was carried out in a patient with Child-Pugh C hepatic cirrhosis complicated by esophageal varices. Measures against bleeding from the esophageal varices and leakage of ascitic fluid were required. PEG could be safely carried out using the direct method and fixing the gastric wall closer to the abdominal wall by the four-point fixation method. No postoperative bleeding or ascitic fluid leakage was found. Although the presence of ascites and portal hypertension are relative contraindications for PEG, PEG could be safely carried out by taking appropriate measures, even in the presence of such contraindications.
