Duodenal obstruction: a complication of percutaneous endoscopic gastrostomy tube migration.
Percutaneous endoscopic gastrostomy (PEG) is now a well-established technique for providing long-term enteral feeding. The procedure is being increasingly utilized and, although generally well tolerated, it may be associated with complications. We report two patients in whom a replacement Foley balloon tip catheter migrated into the small bowel and caused obstruction. The diagnosis, management, and preventive measures of tube migration are discussed.
University of Miami, School of Medicine/Mt. Sinai Medical Center, Division of Gastroenterology, Florida.
R
R
McGovern
J S
JS
Barkin
R I
RI
Goldberg
R S
RS
Phillips
D000368:Aged; D000369:Aged, 80 and over; D002408:Catheters, Indwelling; D004380:Duodenal Obstruction / Q000209:etiology*; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D005548:Foreign-Body Migration / Q000150:complications* / Q000175:diagnosis; D005773:Gastroscopy; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D008297:Male