Successful complication management of a colon perforation after PEG implantation with the OTSC-system

A 75-year-old patient ocurred one day after percutaneous endoscopic gastrostomy (PEG) with a Hb-relevant peranal hemorrhage. The colonoscopy performed at the same day revealed a perforation of the PEG tube through the transverse colon as the source of bleeding. The patient was transferred to our clinic for endoscopic closure of both the perforations of the stomach and colon caused by the PEG-tube. A colonoscopy was performed with the preinstalled OTSC-system® and the cap on the endoscope. The margins of the colonic perforations were secured by the „twingrasper®“. This was followed by gastroscopic extraction of t…