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European Journal of Physical and Rehabilitation Medicine 2011 March;47(1):49-51

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: English

Prolonged duodenal paralysis after PEG placement in a patient with traumatic brain injury: a case report

Mammi P., Zaccaria B., Dazzi F., Saccavini M.

Rehabilitation Medicine Unit, Geriatric-Rehabilitation Department, University Hospital of Parma, Parma, Italy


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Percutaneous endoscopic gastrostomy (PEG) has recently become a usual procedure for patients with prolonged disorders of consciousness after brain injuries. Despite a high rate of success and a very low procedure-related mortality, morbidity associated to PEG placement reaches 9.4% in a recent large meta-analysis. This case report describes an uncommon complication of PEG placement in a patient with vegetative state after traumatic brain injury: the development of prolonged duodenal paralysis. This patient was treated by placement of a transient jejunostomy until recovery of duodenal functional activity, to permit adequate nutrition. This procedure-related complication is previously unreported in scientific literature.

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