title: Complete Impulsive Migration of Feeding Jejunostomy Tube and Jejunal Intussusception - Sporadic Complications of a Common Procedure.
abstract: Feeding jejunostomy is one of the most widely used procedures for enteral nutrition. It is associated with several complications which can be grouped into mechanical, metabolic, nutritional, and infectious. Amongst mechanical complications, complete impulsive tube migration is rarely seen. We hereby report the case of a 60-year old woman, with advanced esophageal carcinoma, re-admitted in the ward with blocked and stuck Foley's catheter placed in the jejenum for feeding purpose. Within hours of admission, patient developed rapid peristalsis and catheter completely disappeared in the abdomen. Exploratory laparotomy was performed to retrieve the catheter, which revealed jejunal intussception and erosions. Migration of the feeding tube is infrequent complication; however, complete migration is even rarer and needs urgent intervention.
authors.affiliation: Department of General Surgery, Jinnah Postgraduate Medical Centre, Karachi.
authors.forename: Khalid
authors.initials: K
authors.lastname: Rashid
authors.affiliation: Medical Student, Sind Medical College, Dow University of Health and Sciences, Karachi.
authors.forename: Mariam
authors.initials: M
authors.lastname: Asif
mesh_terms: D002408:Catheters, Indwelling / Q000009:adverse effects*; D004750:Enteral Nutrition / Q000009:adverse effects* / Q000295:instrumentation* / Q000379:methods; D004938:Esophageal Neoplasms / Q000628:therapy; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007443:Intussusception / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000209:etiology* / Q000601:surgery; D007582:Jejunostomy / Q000009:adverse effects*; D007583:Jejunum / Q000601:surgery*; D007813:Laparotomy; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome