Deceased
Tan Van Tran
Demographics
53y, male
Coroner
State Coroner Judge John Cain
Date of death
2023-02-14
Finding date
2025-02-04
Cause of death
Gastrointestinal haemorrhage complicating recent PEG insertion with stroke as a significant contributing factor
AI-generated summary
Tan Van Tran, a 53-year-old man with prior stroke causing severe dysphagia, died from gastrointestinal haemorrhage complicating recent PEG insertion. He was admitted with aspiration pneumonia and underwent PEG placement on 6 February 2023. He deteriorated 3 days post-insertion with haemodynamic instability and gastrointestinal bleeding, dying 8 days after procedure. The coroner found no want of clinical management by hospital staff or disability care providers. This case highlights risks of PEG insertion in patients with severe dysphagia from stroke and acquired brain injury, particularly vulnerability to post-procedural complications. Clinicians appropriately prioritised comfort care once bleeding was established and prognosis became poor.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Drugs involved
Clinical conditions
Procedures
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