Prolapse of gastrostomy tube resulting in entero-enteric fistula and intussusception.
A case is reported in which a surgical gastrostomy tube migrated into the duodenum and eroded through the jejunal wall into an adjacent loop of jejunum. This resulted in an entero-enteric fistula, small bowel obstruction and intussusception. Since the number of gastrostomy tubes being placed endoscopically and surgically is increasing, gastroenterologists and surgeons should be alerted to these and other potential complications.
Tom
W
W
Brooklyn VA Medical Center, New York.
Zachary
K
K
Fruchter
G
G
Simko
V
V
D000368:Aged; D004378:Duodenal Diseases / Q000209:etiology*; D005548:Foreign-Body Migration; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D007415:Intestinal Obstruction / Q000209:etiology; D007441:Intubation, Gastrointestinal / Q000009:adverse effects; D007443:Intussusception / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D008297:Male