PEG Tube Causes Sepsis and Early Death

ByMichael Talve, CEO

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Updated onSeptember 28, 2017

PEG Tube Causes Sepsis and Early Death

This case involves a stroke patient who underwent an endoscopic PEG tube placement and deteriorated shortly thereafter. A CT scan showed significant evidence of pneumo-peritoneum, likely related to gastrostomy tube placement. An exploratory laparotomy was performed the same day and the report stated that the gastrostomy tube was visualized and the stomach had relaxed and pulled away from the anterior abdominal wall allowing leakage of gastric contents into the abdomen. The patient died the following day due to severe sepsis.

Question(s) For Expert Witness

1. Was this patient's deteriorating medical status linked to the improper PEG tube placement?

Expert Witness Response E-004817

inline imagePneumoperitoneum is a relatively common post PEG placement and is usually of no consequence. There is documentation in the medical literature of dislodgement of the tube if it was not secured properly which would ultimately require a laparotomy. Immune compromised patients are more likely to succumb to sepsis than patients with an “intact” immune system. I would be happy to review the case to determine if the proper technique was incorporated in the placement of the PEG.

About the author

Michael Talve, CEO

Michael Talve, CEO

Michael Talve stands at the forefront of legal innovation as the CEO and Managing Director of Expert Institute. Under his leadership, the Expert Institute has established itself as a vital player in the legal technology arena, revolutionizing how lawyers connect with world-class experts and access advanced legal technology. Michael's role involves not only steering the company's strategic direction but also ensuring the delivery of unparalleled intelligence and cutting-edge solutions to legal professionals. His work at Expert Institute has been instrumental in enhancing the capabilities of attorneys in case preparation and execution, making a significant impact on the legal industry's approach to expert consultation and technological integration. Michael's vision and execution have positioned the Expert Institute as a key facilitator in the intersection of law and technology.

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