{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T05:27:24Z","timestamp":1784611644517,"version":"3.55.0"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2005,2,1]],"date-time":"2005-02-01T00:00:00Z","timestamp":1107216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2005,2]]},"abstract":"<jats:p>Since the advent of percutaneous endoscopic gastrostomy (PEG) tubes in 1980, they have become the device of choice for providing long\u2010term enteral nutrition. Despite their overall safety, a number of complications can occur after PEG placement. Bleeding is usually a minor complication associated with PEG placement that occurs soon after the procedure and is most often caused by puncture of an abdominal wall vessel. More severe bleeding can occur when a branch of one of the gastric arteries is punctured. There are only a few case reports of traumatic gastric ulceration secondary to the internal bolster of a PEG. The internal bolsters are either balloons or dome shaped, and are 1.5\u20132.0 cm in height. We report a case in which a patient developed hemorrhage from a gastric ulcer induced by a balloon\u2010type PEG tube that was resolved only after replacement with a tube manufactured with a low\u2010profile internal bolster that was only 0.3 mm in height. The protruding tip of a balloon\u2010type gastrostomy tube was believed to have caused traumatic injury to the gastric mucosa in our patient, causing ulceration. Usually, removal of the tube and placement in a different location may solve the problem. However, we believe that the PEG tube fashioned with a low\u2010profile internal bumper is a safer option.<\/jats:p>","DOI":"10.1177\/011542650502000188","type":"journal-article","created":{"date-parts":[[2008,5,14]],"date-time":"2008-05-14T19:23:41Z","timestamp":1210793021000},"page":"88-92","source":"Crossref","is-referenced-by-count":8,"title":["Management of a Traumatic Gastric Ulcer With a Low\u2010Profile Gastrostomy Tube"],"prefix":"10.1002","volume":"20","author":[{"given":"Douglas L.","family":"Seidner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi K.","family":"Ghanta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,2]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-199907000-00026"},{"key":"e_1_2_4_3_2","unstructured":"De LeggeMH.Prevention and Management of complications frompercutaneous endoscopic gastrostomy.2002 Up To Date R(official reprint fromwww.uptodate.com)."},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900440"},{"key":"e_1_2_4_5_2","first-page":"351","article-title":"Complications of percutaneous endoscopicgastrostomy","volume":"163","author":"Petersen TI","year":"1997","journal-title":"Eur J Surg."},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(95)70084-6"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(88)71344-9"},{"key":"e_1_2_4_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/j.1536-4801.1997.tb01455.x"},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(92)70450-7"},{"key":"e_1_2_4_10_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-31987"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-199907000-00012"},{"key":"e_1_2_4_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1999.01630.x"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(00)70452-4"},{"key":"e_1_2_4_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001610-200103000-00003"},{"key":"e_1_2_4_15_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.177.2.1770359"},{"key":"e_1_2_4_16_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1010610425776"},{"key":"e_1_2_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(97)70304-3"},{"key":"e_1_2_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(92)70528-8"}],"container-title":["Nutrition in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/011542650502000188","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/011542650502000188","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/011542650502000188","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T11:53:04Z","timestamp":1760961184000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/011542650502000188"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,2]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2005,2]]}},"alternative-id":["10.1177\/011542650502000188"],"URL":"https:\/\/doi.org\/10.1177\/011542650502000188","archive":["Portico"],"relation":{},"ISSN":["0884-5336","1941-2452"],"issn-type":[{"value":"0884-5336","type":"print"},{"value":"1941-2452","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,2]]}}}