1Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University Hospital, Seoul, Korea.
2Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea.
3Department of Internal medicine, Sungbuk Central Hospital, Seoul, Korea.
4Department of Internal Medicine, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea.
© Copyright 2015. Korean Association for the Study of Intestinal Diseases. All rights reserved.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Financial support: This work was supported by the Soonchunhyang University Research Fund.
Conflict of interest: None.
Author | Yr | Total study population | Pneumoperitoneum | Significant clinical sign* | Surgery | Death |
---|---|---|---|---|---|---|
Park et al. (present study) | 2014 | 193 | 9 (4.6 %) | 5 (2.6%) | 0 | 2 (1.0%) |
Blum et al.2 | 2009 | 320 | 39 (12.2%) | 6 (1.9%) | 6% | 0 |
Milanchi and Allins13 | 2007 | 85 | 4 (4.7%) | 0 | 1 (perforated colon) | 0 |
Alley et al.9 | 2007 | 120 | 8 (6.6%) | 0 | 0‡ | |
Wiesen et al.11 | 2006 | 65 | 13 (20.0%) | 0 | 0 | 0 |
Dulabon et al.12 | 2002 | 119§ | 10 (8.4%) | 4 (3.4%) | 6∥ | 0 |
Pidala et al.17 | 1992 | 30 | 7 (23.3%) | 0 | 0 | 0 |
Wojtowycz et al.8 | 1988 | 18 | 10 (55.6%) | 0 | 0 | 0 |
Gottfried et al.4 | 1986 | 17 | 6 (35.3%) | 0 | 0 | 0 |
Strodel et al.14 | 1983 | 22 | 8 (36.3%) | 2 (9.1%) | 2¶ | 0 |
*Significant clinical signs included fever, abdominal tenderness, and leukocytosis.
†Four of these patients had a duodenal perforation (1), liver laceration (1) and leakage (2).
‡Colocutanoeus fistula was a late complication in 2 patients without evidence of pneumoperitoneum.
§Included 3 cases of percutaneous gastrostomy performed by radiologists.
∥Three of these patients had colocutaneous fistula and one had dislodgement of the PEG tube.
¶Gastric colic fistula and intraperitoneal gastric leakage were found.
Case | Gender | Age | Indication | Grade | Fever | Abdominal tenderness | Leukocytosis | Antibiotics (Prophylactic antibiotics) | Diet start (days) | Time to resolution (days) | Death (Cause of death) |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | Male | 84 | Stroke | Moderate | Yes | Yes | Yes* | Yes (Yes) | 8 | 6 | No |
2 | Male | 67 | Stroke | Small | No | No | Yes* | No (No) | 2 | 3 | No |
3 | Male | 68 | Stroke | Large | No | No | Yes* | Yes (Yes) | 2 | 18 | No |
4 | Male | 86 | Stroke | Small | No | No | Yes* | Yes (Yes) | 2 | 2 | No |
5 | Male | 81 | Hypoxic brain damage | Small | No | No | Yes* | Yes (Yes) | 2 | 7 | No |
6 | Male | 63 | Stroke | Small | No | Yes | Yes | Yes (Yes) | 2 | 6 | No |
7 | Male | 76 | Oropharyngeal cancer | Large | Yes | Yes | Yes | Yes (Yes) | 12 | 18 | Yes (Septic shock) |
8 | Female | 59 | Stroke | Moderate | Yes | Yes | Yes | Yes (Yes) | 2† | 7 | Yes (Aspiration pneumonia) |
9 | Male | 61 | Stroke | Small | Yes | No | Yes | Yes (Yes) | 2 | 8 | No |
*Leukocytosis was present before insertion of the PEG tube due to pneumonia, ventriculoperitoneal shunt infection or urinary tract infection.
†Initial feeding was stopped because of nausea and vomiting and restarted 13 days after PEG insertion.
Author | Yr | Total study population | Pneumoperitoneum | Significant clinical sign* | Surgery | Death |
---|---|---|---|---|---|---|
Park et al. (present study) | 2014 | 193 | 9 (4.6 %) | 5 (2.6%) | 0 | 2 (1.0%) |
Blum et al. | 2009 | 320 | 39 (12.2%) | 6 (1.9%) | 6% | 0 |
Milanchi and Allins | 2007 | 85 | 4 (4.7%) | 0 | 1 (perforated colon) | 0 |
Alley et al. | 2007 | 120 | 8 (6.6%) | 0 | 0‡ | |
Wiesen et al. | 2006 | 65 | 13 (20.0%) | 0 | 0 | 0 |
Dulabon et al. | 2002 | 119§ | 10 (8.4%) | 4 (3.4%) | 6∥ | 0 |
Pidala et al. | 1992 | 30 | 7 (23.3%) | 0 | 0 | 0 |
Wojtowycz et al. | 1988 | 18 | 10 (55.6%) | 0 | 0 | 0 |
Gottfried et al. | 1986 | 17 | 6 (35.3%) | 0 | 0 | 0 |
Strodel et al. | 1983 | 22 | 8 (36.3%) | 2 (9.1%) | 2¶ | 0 |
*Significant clinical signs included fever, abdominal tenderness, and leukocytosis.
†Four of these patients had a duodenal perforation (1), liver laceration (1) and leakage (2).
‡Colocutanoeus fistula was a late complication in 2 patients without evidence of pneumoperitoneum.
§Included 3 cases of percutaneous gastrostomy performed by radiologists.
∥Three of these patients had colocutaneous fistula and one had dislodgement of the PEG tube.
¶Gastric colic fistula and intraperitoneal gastric leakage were found.
*Leukocytosis was present before insertion of the PEG tube due to pneumonia, ventriculoperitoneal shunt infection or urinary tract infection. †Initial feeding was stopped because of nausea and vomiting and restarted 13 days after PEG insertion.
*Significant clinical signs included fever, abdominal tenderness, and leukocytosis. †Four of these patients had a duodenal perforation (1), liver laceration (1) and leakage (2). ‡Colocutanoeus fistula was a late complication in 2 patients without evidence of pneumoperitoneum. §Included 3 cases of percutaneous gastrostomy performed by radiologists. ∥Three of these patients had colocutaneous fistula and one had dislodgement of the PEG tube. ¶Gastric colic fistula and intraperitoneal gastric leakage were found.