title: Small bowel obstruction from a dislodged feeding tube.
abstract: Elderly nursing home patients may suffer from inadequate oral nutritional intake for a variety of reasons. In some of them, nutritional status cannot be maintained without the use of enteral feeding. Nasogastric tube feeding is associated with significant patient discomfort, and may lead to significant complications. Thus, in those who require long-term enteral tube feeding, a gastrostomy tube may be necessary. Although surgical insertion may occasionally be required, percutaneous insertion with upper endoscopy assistance is usually safe and feasible. This case represents an unusual complication of such a gastrostomy tube, which draws attention to the need for appropriate care of these tubes.
authors.affiliation: Department of Surgery and Transplantation, Sheba Medical Center, Tel Hashomer, Israel. Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Moshe
authors.initials: M
authors.lastname: Kamar
authors.forename: Avner
authors.initials: A
authors.lastname: Bar-Dayan
authors.forename: Oded
authors.initials: O
authors.lastname: Zmora
authors.forename: Amram
authors.initials: A
authors.lastname: Ayalon
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004750:Enteral Nutrition / Q000295:instrumentation*; D004868:Equipment Failure; D005260:Female; D005774:Gastrostomy; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*