ArticleDEN open2026
Embolization by Gelatin Sponge for Tract Closure After Inappropriate Procedure of Percutaneous Endoscopic Gastrostomy: Safe Management of Hepatic Injury After Transhepatic Placement.
Article in DEN open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Placement of percutaneous endoscopic gastrostomy (PEG) is generally safe and well-tolerated. Transhepatic insertion of PEG tubes is an extremely rare but serious complication. Optimal management strategies for safe removal of PEG tubes remain unclear. A 70-year-old male with hypopharyngeal cancer underwent PEG placement prior to chemoradiotherapy. The patient experienced mild puncture site pain. Progressive elevation of inflammatory markers prompted computed tomography (CT) imaging on postoperative day 2, which revealed inadvertent transhepatic catheter placement through the lateral segment. Minimally invasive removal was prioritized over surgical management to enable continuation of chemoradiotherapy. To prevent bleeding and biliary leakage, gelatin sponge (GS) was embolized for tract closure. A pull-through technique was established for emergency tract access if massive bleeding occurred. After removal of the tube, embolic material was injected under fluoroscopic and endoscopic guidance. The gastric entry site was closed with endoscopic clips. Serial CT showed no bleeding or biliary leakage, and the patient recovered uneventfully and completed chemoradiotherapy without treatment delays. Embolization of GS represents a safe and effective technique for the removal of a transhepatic PEG tube. This minimally invasive approach successfully prevented serious complications in this rare case of PEG-related hepatic injury.
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