title: A rare complication of jejunostomy tube: Enteral migration.
abstract: Feeding jejunal tubes provide an excellent method for enteral nutritional support in cases where the oral route is impossible or insufficient for use. However, several complications may result from the placement of the tube. Detachment of the tube and migration through the intestine is a very rare complication. We report herein a 65-year-old male patient in whom a jejunal feeding tube (28-F Pezzer catheter) was placed two months before due to unresectable gastric cancer. He presented with disappearance of the tube and abdominal pain. Radiological investigations showed the tube localized in the lumen of the small intestine and its advancement through the gut. Conservative measures were taken as there was neither intestinal obstruction nor peritonitis. The tube passed spontaneously through the rectum 18 days later. One should be careful during the placement of jejunostomy tubes, and health care providers and patients should be instructed well in the care of feeding enterostomy tubes in order to prevent this complication.
authors.affiliation: Department of General Surgery, İstanbul University, Cerrahpaşa Medical School, İstanbul. volkanozben@yahoo.co.uk
authors.forename: Volkan
authors.initials: V
authors.lastname: Ozben
authors.forename: Adem
authors.initials: A
authors.lastname: Karataş
authors.forename: Deniz
authors.initials: D
authors.lastname: Atasoy
authors.forename: Arife
authors.initials: A
authors.lastname: Sımşek
authors.forename: Resul
authors.initials: R
authors.lastname: Sarigül
authors.forename: Osman Baran
authors.initials: OB
authors.lastname: Tortum
mesh_terms: D000368:Aged; D002408:Catheters, Indwelling / Q000009:adverse effects*; D003672:Defecation; D004750:Enteral Nutrition / Q000009:adverse effects* / Q000295:instrumentation*; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007582:Jejunostomy / Q000009:adverse effects*; D008297:Male; D011859:Radiography; D013274:Stomach Neoplasms / Q000178:diet therapy; D057832:Watchful Waiting