title: A wandering tube.
abstract: The predominant causes of acute mechanical small bowel obstruction in geriatric patients are adhesions and hernias, which is not much different than in other adult age groups. Unusual etiologies may be encountered, such as volvulus or gallstone ileus, but a displaced feeding gastrostomy tube is a distinctly rare cause of intestinal obstruction which needs to be considered by emergency physicians as it may be increasingly encountered.
authors.affiliation: *Department of Medicine,Laniado Hospital,Sanz Medical Center,Netanya,Israel.
authors.forename: Ina
authors.initials: I
authors.lastname: Dubin
authors.affiliation: *Department of Medicine,Laniado Hospital,Sanz Medical Center,Netanya,Israel.
authors.forename: Moshe
authors.initials: M
authors.lastname: Gelber
authors.affiliation: *Department of Medicine,Laniado Hospital,Sanz Medical Center,Netanya,Israel.
authors.forename: Ami
authors.initials: A
authors.lastname: Schattner
mesh_terms: D000369:Aged, 80 and over; D020878:Device Removal / Q000379:methods; D004750:Enteral Nutrition / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000000981:diagnostic imaging*; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods
keywords:  Percutaneous endoscopic gastrostomy;  Small bowel obstruction;  feeding in;  mechanical; Dementia