{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:35:02Z","timestamp":1787016902362,"version":"build-2736575974"},"reference-count":13,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,12,1]]},"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:p>Emphysematous gastritis and gastric emphysema are different diseases. Sometimes, we treat the diseases without distinguishing them clearly because both are rare, and the mortality rate of emphysematous gastritis cases is high (55%). Gastric emphysema is more well known than is emphysematous gastritis after percutaneous endoscopic gastrostomy (PEG) placement (80%). Particularly, it is a self-healing disease, and treatment with antibiotics is not required. CT is commonly used to diagnose emphysematous gastritis and gastric emphysema. The amount of radiation exposure is a concern for performing multiple CTs following air disappearance in the gastric wall. Here, we report the case of a 92-year-old man with gastric emphysema after PEG. It was useful to follow-up the patient by performing radiographic examination, and the disease was managed conservatively without antibiotic administration. We report that distinguishing gastric emphysema from emphysematous gastritis was necessary. Moreover, performance excessive tests and treatments should be avoided.<\/jats:p>","DOI":"10.1136\/bcr-2022-253374","type":"journal-article","created":{"date-parts":[[2022,12,13]],"date-time":"2022-12-13T10:59:39Z","timestamp":1670929179000},"page":"e253374","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Gastric emphysema after percutaneous endoscopic gastrostomy placement"],"prefix":"10.1136","volume":"15","author":[{"given":"Sayaka","family":"Mabuchi","sequence":"first","affiliation":[{"name":"General Medicine, Iinan Hospital, Iinan, Shimane, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroya","family":"Mabuchi","sequence":"additional","affiliation":[{"name":"General Medicine, Iinan Hospital, Iinan, Shimane, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Watari","sequence":"additional","affiliation":[{"name":"General Medicine Center, Shimane University Faculty of Medicine Graduate School of Medicine, Izumo, Shimane, Japan"},{"name":"Master of Healthcare Quality and Safety, University of Michigan Medical Center, Ann Arbor, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,12,13]]},"reference":[{"key":"2025082710491876000_15.12.e253374.1","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1007\/s12328-021-01425-3","article-title":"Emphysematous gastritis: a case series and review of the current trend favoring conservative management","volume":"14","author":"Shami","year":"2021","journal-title":"Clin J Gastroenterol"},{"key":"2025082710491876000_15.12.e253374.2","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1007\/s00268-014-2882-7","article-title":"Emphysematous gastritis and gastric emphysema: similar radiographic findings, distinct clinical entities","volume":"39","author":"Matsushima","year":"2015","journal-title":"World J Surg"},{"key":"2025082710491876000_15.12.e253374.3","first-page":"851","article-title":"[Clinical characteristics of five patients with gastric emphysema]","volume":"118","author":"Iwamuro","year":"2021","journal-title":"Nihon Shokakibyo Gakkai Zasshi"},{"key":"2025082710491876000_15.12.e253374.4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2020\/9897208","article-title":"Gastroduodenal emphysema with portal venous air due to congenital duodenal web in a child: a case report and review of literature","volume":"2020","author":"Wettasinghe","year":"2020","journal-title":"Case Rep Pediatr"},{"key":"2025082710491876000_15.12.e253374.5","first-page":"655","article-title":"[Conservative management of gastric emphysema and hepatic portal venous gas: a case report]","volume":"115","author":"Iwamuro","year":"2018","journal-title":"Nihon Shokakibyo Gakkai Zasshi"},{"key":"2025082710491876000_15.12.e253374.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2006.06.088"},{"key":"2025082710491876000_15.12.e253374.7","first-page":"407","article-title":"Complications related to percutaneous endoscopic gastrostomy (PEG) tubes. 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