Full-thickness gastric prolapse following percutaneous endoscopic gastrostomy.

Since the 1980s the use of percutaneous endoscopic gastrostomy (PEG) has been a safe and reliable method of enteral feed− ing in patients with functioning normal bowel [1]. A 74−year−old woman with Alz− heimer s disease and a history of a cere− brovascular accident (CVA) was admitted after dislodgement of her PEG feeding tube. It had been placed 3 years previous− ly using a standard pull−through tech− nique, but had required replacement on several occasions due to dislodgement. She was found to have a large (8 ” 9 cm) prolapse of engorged gastric mucosa pro− truding from the tube tract (Figure 1). At laparotomy the prolapse was found to consist of everted full−thickness stomach wall. This was reduced and the defect was repaired in two layers (Figure 2). A further PEG tube was placed at a distant site. The patient made a full recovery.