Clinical Endoscopy

Case Report

Migration of a Percutaneous Endoscopic Gastrojejunostomy Tube into the Colon with Small Intestinal Telescoping: Shinya Taki, Takao Maekita, Mayumi Sakata, Kazuhiro Fukatsu, Yoshimasa Maeda, Mikitaka Iguchi, Hidefumi Ito, Masayuki Kitano; Clin Endosc 2019;52(6):616-619. Published online October 16, 2019; DOI: https://doi.org/10.5946/ce.2019.016

Continuous duodenal levodopa/carbidopa intestinal gel delivery by a gastrostomy infusion system improves control of Parkinson’s disease. The overall complication rates of percutaneous endoscopic gastrojejunostomy were reported to be 41% and 59% for immediate and delayed adverse events, respectively. A 72-year-old woman underwent percutaneous endoscopic gastrojejunostomy using the delivery system noted above. Abdominal pain and vomiting occurred 3 months later. Esophagogastroduodenoscopy showed a longitudinal ulcer extending from the lower gastric body to the ileum end, with small intestinal telescoping. Colonoscopy showed a large bezoar of food residue that was attached around the tip of the tube, reaching the ascending colon, which may have acted as an anchor. Thus, the gastric antrum and small intestine were shortened with telescoping. This complication was resolved by crushing the bezoar with forceps during colonoscopy and can be prevented by consuming a fiber-free diet and periodic exchanges of the tube using esophagogastroduodenoscopy.

Citations

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Retrograde Migration of a Percutaneous Endoscopic Gastro-Jejunal Tube Into the Esophagus
Binyamin R Abramowitz, Jude Noel, Sushil Ahlawat
Cureus.2024;[Epub] CrossRef
Weighted Tip Extensions Result in Fewer Gastrojejunostomy Tube Migrations and Increase Tube Lifespan
Matthew A. Patetta, Kyung R. Kim, Clayton W. Commander, Peter R. Bream
Journal of Vascular and Interventional Radiology.2023; 34(1): 124. CrossRef
Understanding Parkinson's Disease: A Basic Overview
Rachael L Anderson, Adelene Choo, Sue Sharrad, Ruth Withey
Australasian Journal of Neuroscience.2023; 33(2): 9. CrossRef
Parkinson hastalarında perkütan endoskopik gastrojejunostomi katateri takılan hastalarımızın takibi: Tek merkez deneyimi
Nurten TÜRKEL KÜÇÜKMETİN, Tevfik SOLAKOĞLU
Akademik Gastroenteroloji Dergisi.2022; 21(3): 157. CrossRef

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