{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:25:31Z","timestamp":1768433131035,"version":"3.49.0"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,2,27]],"date-time":"2020-02-27T00:00:00Z","timestamp":1582761600000},"content-version":"vor","delay-in-days":57,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Percutaneous endoscopic gastrostomy (PEG) provides long-term enteral nutritional access for patients with inability to eat. Although considered safe, PEG tube placement is associated with complications. We report a rare case of PEG-related sigmoid colon pseudovolvulus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>A 78-year-old man with a history of Parkinson\u2019s disease developed severe abdominal pain and vomited continuously 50 days after PEG tube placement. Contrast-enhanced computed tomography revealed internal herniation of the sigmoid colon between the abdominal wall and the stomach at the gastrostomy site. Intraoperatively, the gastrostomy tube penetrated the sigmoid mesentery, which rotated around the tube, and the sigmoid colon was herniated towards the upper abdomen. The herniated colon was reduced and Hartmann\u2019s procedure was performed. Subsequently, gastrostomy was reinforced with anterior gastropexy. The postoperative course was uneventful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case highlights the need for caution when placing a PEG tube because of a mobile sigmoid mesocolon, raising the awareness of potential major complications. Complications can be avoided by directly visualising the intraabdominal organs using laparoscopic gastrostomy or laparoscopic-assisted PEG. However, these methods require general anaesthesia. Thus, the presence of redundant colons should be determined in advance to assess the risk of sigmoid mesocolon perforation. We should also assess the patients\u2019 swallowing function and estimate whether it may recover with rehabilitation before deciding to place a PEG tube.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PEG tube should be considered after careful patient evaluation. If PEG is required, clinicians should recognise the patient-specific risks and consider other surgical procedures to avoid complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.02.049","type":"journal-article","created":{"date-parts":[[2020,2,28]],"date-time":"2020-02-28T23:07:39Z","timestamp":1582931259000},"page":"166-169","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Pseudovolvulus of the sigmoid colon after percutaneous endoscopic gastrostomy tube placement"],"prefix":"10.1097","volume":"68","author":[{"given":"Motohiro","family":"Kikuawa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Kuriyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayaki","family":"Uchino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-39-20260114","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1097\/SGA.0000000000000150","article-title":"Percutaneous endoscopic gastrostomy: a practical overview on its indications, placement conditions, management, and nursing care","volume":"38","author":"Friginal-Ruiz","year":"2015","journal-title":"Gastroenterol. Nurs"},{"key":"R2-39-20260114","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1016\/j.bpg.2016.10.002","article-title":"Complications of percutaneous endoscopic gastrostomy","volume":"30","author":"Hucl","year":"2016","journal-title":"Best Pract. Res. Clin. Gastroenterol"},{"key":"R3-39-20260114","doi-asserted-by":"crossref","first-page":"1388","DOI":"10.1111\/jgs.15386","article-title":"Decreasing use of percutaneous endoscopic gastrostomy tube feeding in Japan","volume":"66","author":"Komiya","year":"2018","journal-title":"J. Am. Geriatr. Soc"},{"key":"R4-39-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg. (London, England"},{"key":"R5-39-20260114","doi-asserted-by":"crossref","first-page":"1590","DOI":"10.1111\/jgs.12924","article-title":"American Geriatrics Society feeding tubes in advanced dementia position statement","volume":"62","author":"American Geriatrics Society Ethics C","year":"2014","journal-title":"J. Am. Geriatr. Soc"},{"key":"R6-39-20260114","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.1016\/j.clnu.2015.09.004","article-title":"ESPEN guidelines on nutrition in dementia","volume":"34","author":"Volkert","year":"2015","journal-title":"Clin. Nutr. (Edinburgh, Scotland"},{"key":"R7-39-20260114","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1007\/s12603-014-0011-9","article-title":"Percutaneous endoscopic gastrostomy (PEG) tubes are placed in elderly adults in Japan with advanced dementia regardless of expectation of improvement in quality of life","volume":"18","author":"Nakanishi","year":"2014","journal-title":"J. Nutr. Health Aging"},{"key":"R8-39-20260114","doi-asserted-by":"crossref","first-page":"3549","DOI":"10.2169\/internalmedicine.55.7572","article-title":"Gastrocolocutaneous fistula due to percutaneous endoscopic gastrostomy placement","volume":"55","author":"Kuriyama","year":"2016","journal-title":"Intern. Med. (Tokyo, Japan"},{"key":"R9-39-20260114","first-page":"448","article-title":"The \u201cburied bumper syndrome\u201d: a complication of percutaneous endoscopic gastrostomy","volume":"85","author":"Klein","year":"1990","journal-title":"Am. J. Gastroenterol"},{"key":"R10-39-20260114","first-page":"221","article-title":"Sigmoid intra-abdominal herniation and volvulus: a rare complication of percutaneous endoscopic gastrostomy tubes","volume":"84","author":"Walker","year":"1997","journal-title":"Br. J. Surg"},{"key":"R11-39-20260114","doi-asserted-by":"crossref","first-page":"e59","DOI":"10.14309\/crj.2017.59","article-title":"Midgut volvulus after percutaneous endoscopic gastrostomy","volume":"4","author":"Martins","year":"2017","journal-title":"ACG Case Rep. J"},{"key":"R12-39-20260114","doi-asserted-by":"crossref","first-page":"e79","DOI":"10.1308\/003588415X14181254790365","article-title":"A case of small-bowel obstruction after insertion of a percutaneous endoscopic gastrostomy tube due to mesenteric penetration","volume":"97","author":"Roos","year":"2015","journal-title":"Ann. R. Coll. Surg. Engl"},{"key":"R13-39-20260114","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1053\/j.scrs.2006.12.013","article-title":"The pathogenesis and etiology of colonic volvulus","volume":"18","author":"Margolin","year":"2007","journal-title":"Semin. Colon Rectal Surg"},{"key":"R14-39-20260114","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.parkreldis.2010.08.003","article-title":"Gastrointestinal dysfunction in Parkinson\u2019s disease","volume":"17","author":"Pfeiffer","year":"2011","journal-title":"Parkinsonism Relat. Disord"},{"key":"R15-39-20260114","doi-asserted-by":"crossref","first-page":"1881","DOI":"10.1002\/mds.22705","article-title":"Major nutritional issues in the management of Parkinson\u2019s disease","volume":"24","author":"Barichella","year":"2009","journal-title":"Mov. Disord"},{"key":"R16-39-20260114","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1038\/nrneurol.2011.107","article-title":"How might physical activity benefit patients with Parkinson disease?","volume":"7","author":"Speelman","year":"2011","journal-title":"Nat. Rev. Neurol"},{"key":"R17-39-20260114","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1089\/lap.2017.0447","article-title":"A new method for laparoscopic Stamm gastrostomy","volume":"28","author":"Kaya","year":"2018","journal-title":"J. Laparoendosc. Adv. Surg. Tech. Part A"},{"key":"R18-39-20260114","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1007\/s11894-016-0520-2","article-title":"Laparoscopic-assisted percutaneous endoscopic gastrostomy","volume":"18","author":"Thaker","year":"2016","journal-title":"Curr. Gastroenterol. Rep"},{"key":"R19-39-20260114","doi-asserted-by":"crossref","first-page":"2178","DOI":"10.1016\/j.jpedsurg.2008.08.043","article-title":"Experience with a hybrid, minimally invasive gastrostomy for children with abnormal epigastric anatomy","volume":"43","author":"Gauderer","year":"2008","journal-title":"J. Pediatr. Surg"},{"key":"R20-39-20260114","doi-asserted-by":"crossref","first-page":"1512","DOI":"10.1016\/j.clnu.2016.04.001","article-title":"Survival in older adults with dementia and eating problems: to PEG or not to PEG?","volume":"35","author":"Ticinesi","year":"2016","journal-title":"Clin. Nutr. (Edinburgh, Scotland"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220301231?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220301231?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.02.049","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:05:52Z","timestamp":1768395952000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.02.049"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":20,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.02.049","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}