術後胃穿孔に対し経皮内視鏡的胃瘻造設術が有効であった1例

抄録

We experienced a case of perforation of the remnant stomach due to naso-gastric tube was treated by PEG.
A 73-year-old male, being operated for gastric cancer, had high fever on the 7th post operative day. The contaminated fluid was drainaged from the abdominal cavity. Free perforation of anterior wall of the remnant stomach was observed by Gastrofiberscopy on the 34th post operative day. We preferred to treat it conservatively but condition of the patient was deteriorated gradually.
A balloon catheter was inserted through cutaneous and perforated lesion of gastric wall using the method of PEG on the 36th post operative day. The patient began to recover remarkably. The balloon catheter was removed on 20th day after PEG and the fistule was completely closed in 19 days. The patient was discharged at 84th post operative day.
We reported our experience of the perforation of the remnant stomach treated by PEG successfully.