Abstract
We present two patients both of whom had severe morbid obesity and needed placement of a percutaneous endoscopic gastrostomy (PEG) for albumin and visceral protein replenishment. The first patient was a 53-year-old woman (body mass index [BMI], 85.8; weight, 191 kg) who presented with respiratory distress and dysphagia; the second was a 26-year-old woman (BMI, 88.6; weight, 259 kg) who presented with sepsis complicated by respiratory distress and dysphagia. Both women required placement of a PEG tube for long-term enteral nutrition.
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