Intermittent obstruction of an ileostomy caused by a PEG tube bumper.
PEG tubes are used for decompression of the stomach or enteral feeding and are secured with bumpers. These bumpers may migrate. A patient with a stenotic ileostomy stoma is presented in whom migration of a PEG tube bumper resulted in an intermittent small bowel obstruction. Revision of the ileostomy stoma with removal of the bumper resolved the problem. Bumper migration should be considered a possible etiology for bowel obstruction in patients with PEG tubes especially if they have a stenotic stoma.
Highhouse
R
R
Division of Gynecologic Oncology, H. Lee Moffitt Cancer Center, University of South Florida, Tampa 33612.
Roberts
W S
WS
Towsley
G
G
Mamel
J
J
D005260:Female; D005548:Foreign-Body Migration / Q000150:complications* / Q000209:etiology*; D005774:Gastrostomy / Q000009:adverse effects; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects*; D007415:Intestinal Obstruction / Q000209:etiology*; D008875:Middle Aged