Laparosc Endosc Surg Sci . 2019; 26(3): 118-120 | DOI: 10.14744/less.2019.LESS-70188

Endoscopic percutaneous suturing (eFe technique) in massive bleeding due to percutaneous endoscopic gastrostomy

Cem Dönmez¹, Özcan Dere¹, Ahmet Korkut Belli¹, Sercan Subasi¹, Ezgi Dönmez^2
1Department of General Surgery, Muðla Sýtký Koçman University Faculty of Medicine, Muðla, Turkey
²Department of Anesthesiology and Reanimation, Yataðan State Hospital, Muðla, Turkey

Percutaneous endoscopic gastrostomy (PEG) has so many complications, such as haemorrhage and gastrocutaneous fistula, and can be treated with several common procedures. When the common procedures are not successful, we must perform new procedures, such as eFe technique. We use this technique for gastrostomy tube removal at the same session to prevent fistula formation in our clinical practice. Sometimes, leakage beside the gastrostomy tube can be seen during feeding from PEG; we also treat this problem with the same eFe technique in our clinic. We used this technique for the treatment of hemorrhage due to PEG for the first time when could not control with routine procedures and became successful.

Keywords: Gastrocutaneous fistula, haemorrhage; laparoscopy; percutaneous endoscopic gastrostomy; trochar.

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