Abstract
Conservative treatment for peritonitis due to the mis-insertion into the abdominal cavity and damage to the fistula during PEG catheter exchange was performed in four cases. Each case was treated with the insertion of a naso-gastric tube, intravenous hyper-alimentation, antibiotics, and anti-acid drugs. Emergency PEG was performed in 3 cases. In all cases in whom an emergency PEG was performed demonstrated a good clinical course. Complications were noted in one patient in whom emergency PEG could not be performed due to their extremely bad general condition. However, a new PEG was performed 68 days later and a good clinical course was achieved after the new PEG.
