title: Early percutaneous endoscopic gastrostomy tube dislodgment.
abstract: The authors present a case of early percutaneous endoscopic gastrostomy tube dislodgment, attempted replacement, and subsequent sepsis that resulted in the patient's death. Gastrostomy techniques, complications, preventive strategies, and proper tube management are addressed.
authors.affiliation: Jamie Marie O'Rear is a first-year general surgery resident at the University of Illinois Metropolitan Group Hospital Residency in Surgery Program, Chicago. Joseph A. Prahlow is a forensic pathologist at South Bend Medical Foundation and a professor of pathology and laboratory medicine at the Indiana University School of Medicine-South Bend. Contact author: Joseph A. Prahlow, jprahlow@sbmf.org. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
authors.forename: Jamie Marie
authors.initials: JM
authors.lastname: OʼRear
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Prahlow
mesh_terms: D000063:Accidents, Traffic; D014151:Anti-Anxiety Agents / Q000627:therapeutic use; D003399:Craniotomy / Q000009:adverse effects*; D004750:Enteral Nutrition / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D019544:Equipment Failure Analysis; D017809:Fatal Outcome; D005774:Gastrostomy / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D020200:Hematoma, Subdural, Chronic / Q000150:complications / Q000209:etiology / Q000601:surgery*; D006801:Humans; D033183:Interdisciplinary Communication; D007373:Interinstitutional Relations; D008140:Lorazepam / Q000627:therapeutic use; D008297:Male; D019300:Medical Errors / Q000009:adverse effects*; D008875:Middle Aged; D010538:Peritonitis / Q000150:complications / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology; D011595:Psychomotor Agitation / Q000188:drug therapy / Q000209:etiology*; D018805:Sepsis / Q000150:complications / Q000209:etiology*; D014546:Urinary Catheterization / Q000009:adverse effects* / Q000379:methods
chemical_list: D014151:Anti-Anxiety Agents; D008140:Lorazepam