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Percutaneous endoscopic gastrostomy
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==Complications== * Surgical site infection around the gastrostomy site. Administration of intravenous antibiotics can reduce infection around the gastrostomy site.<ref>{{cite journal | vauthors = Lipp A, Lusardi G | veditors = Lipp A | title = Systemic antimicrobial prophylaxis for percutaneous endoscopic gastrostomy | journal = The Cochrane Database of Systematic Reviews | issue = 11 | pages = CD005571 | date = November 2013 | volume = 2013 | pmid = 24234575 | pmc = 6823215 | doi = 10.1002/14651858.cd005571.pub3 | publisher = John Wiley & Sons, Ltd | collaboration = The Cochrane Collaboration }}</ref> [[Preventive healthcare|Prophylaxis]] with [[Amoxicillin/clavulanic acid|co-amoxiclav]] decreases the proportion of people developing MRSA infections compared with no antibiotic prophylaxis (in people without cancer) undergoing percutaneous endoscopic gastrostomy insertion.<ref>{{cite journal | vauthors = Gurusamy KS, Koti R, Wilson P, Davidson BR | title = Antibiotic prophylaxis for the prevention of methicillin-resistant Staphylococcus aureus (MRSA) related complications in surgical patients | journal = The Cochrane Database of Systematic Reviews | issue = 8 | pages = CD010268 | date = August 2013 | pmid = 23959704 | doi = 10.1002/14651858.CD010268.pub2 | collaboration = Cochrane Wounds Group | pmc = 11299148 }}</ref> * [[Hemorrhage]] * [[Gastric ulcer]] either at the site of the button or on the opposite wall of the stomach ("kissing ulcer") * Perforation of [[Intestine|bowel]] (most commonly [[transverse colon]]) leading to [[peritonitis]] * Puncture of the left lobe of the [[liver]] leading to liver capsule pain * Gastrocolic fistula: this may be suspected if diarrhea appears a short time after feeding. In this case, the feed goes direct from stomach to colon (usually [[transverse colon]])<ref>{{cite journal|journal=J Minim Access Surg|date=January–March 2008|volume=4|issue=1|pages=1–4|pmid=19547728| doi=10.4103/0972-9941.40989| pmc=2699054|title= Malposition of percutaneous endoscopic-guided gastrostomy: Guideline and management|author1=Siamak Milanchi |author2=Matthew T Wilson |doi-access=free }}</ref> * Gastric separation * "[[Buried bumper syndrome]]" (the gastric part of the tube migrates into the gastric wall)<ref>{{cite journal |vauthors=Walters G, Ramesh P, Memon MI |title=Buried Bumper Syndrome complicated by intra-abdominal sepsis |journal=Age and Ageing |volume=34 |issue=6 |pages=650–1 |year=2005 |pmid=16267197 |doi=10.1093/ageing/afi204|doi-access=free |citeseerx=10.1.1.573.2018 }}</ref>
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