Mediastinitis complicating a percutaneous endoscopic gastrostomy: a case report

BACKGROUND: Since its introduction in the early 1980s, percutaneous endoscopic gastrostomy has become the most popular method for performing a gastrostomy for long-term enteral feeding. It has been associated, however, with a lot of minor and major complications. CASE PRESENTATION: A case of mediastinitis with concominant sepsis caused by a masked esophageal perforation after percutaneous endoscopic gastrostomy in a multi-traumatized, brain-injured patient is presented. Ten – fourteen days after the procedure, the patient became febrile and gradually septic with tenderness of the sternum and upper abdomen. Computerized tomography of the thorax revealed mediastinitis. An urgent left thoracotomy and laparotomy were performed for drainage of the mediastinum, removal of the gastrostomy and insertion of a jejunostomy tube. The patient improved soon after the surgery. He was successfully weaned off the ventilator and was discharged from the Intensive Care Unit. CONCLUSION: Perforating mediastinitis is a rare but potentially lethal complication of percutaneous endoscopic gastrostomy. When diagnosed and properly treated it may have a favourable outcome

Future Internet Socio-Economics – Challenges and Perspectives

Abstract. Socio-economics aims to understand the interplay between the society, economy, markets, institutions, self-interest, and moral commitments. It is a multidisciplinary field using methods from economics, psychology, sociology, history, and even anthropology. Socio-economics of networks have been studied for over 30 years, but mostly in the context of social networks instead of the underlying communication networks. The aim of this paper is to present and discuss challenges and perspectives related to “socio-economic” issues in the Future Internet. It is hoped that this will lead to new insights on how to structure the architecture and services in the Internet of the future.

COMET: Content mediator architecture for content-aware networks,” in Future Network

Abstract: This paper presents the vision of the EU FP7 project COMET (COntent Mediator architecture for content-aware nETworks), which aims at defining a novel content-oriented Internet architecture for simplifying content access and supporting content distribution in the network in a content-aware fashion. The COME