title: Gastrostomy tube replacement by endoscopic cannulation of a narrowed previous tube site.
abstract: Percutaneous endoscopic gastrostomy is warranted when oral feeding is not feasible. Indications include central nervous system disorders, head trauma and occasionally malignancies of upper gastrointestinal tract. If tube replacement after accidental dislodgement is delayed, the track may become narrowed. This may compromise routine replacement and may require repeated procedures. Occasionally no further external dilation is possible. We describe the endoscopic cannulation of the previously used track after its internal cannulation and subsequent external dilation and the successful replacement of a gastrostomy tube.
authors.affiliation: Assistant Professor, Department of Gastroenterology, PGIMER and Dr RML Hospital, Delhi, India docvishalsharma@gmail.com.
authors.forename: Vishal
authors.initials: V
authors.lastname: Sharma
authors.affiliation: Assistant Professor, Department of Gastroenterology, PGIMER and Dr RML Hospital, Delhi, India.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Lamoria
authors.affiliation: Senior Resident, Department of Gastroenterology, PGIMER and Dr RML Hospital, Delhi, India.
authors.forename: Arka
authors.initials: A
authors.lastname: De
authors.affiliation: Professor and Head, Department of Gastroenterology, PGIMER and Dr RML Hospital, Delhi, India.
authors.forename: Brinder Mohan S
authors.initials: BM
authors.lastname: Lamba
mesh_terms: D000369:Aged, 80 and over; D002404:Catheterization; D020878:Device Removal; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects* / Q000379:methods; D004750:Enteral Nutrition; D004868:Equipment Failure; D005773:Gastroscopy; D005774:Gastrostomy / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects* / Q000379:methods; D008297:Male; D011183:Postoperative Complications
keywords: Gastrostomy; enteral feeding; progressive supra-nuclear palsy