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

Citations to this article as recorded by

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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2 Web of Science
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Original Article

Rapid On-Site Evaluation by Endosonographers during Endoscopic Ultrasonography-Guided Fine-Needle Aspiration for Diagnosis of Gastrointestinal Stromal Tumors: Takashi Tamura, Yasunobu Yamashita, Kazuki Ueda, Yuki Kawaji, Masahiro Itonaga, Shin-ichi Murata, Kaori Yamamoto, Takeichi Yoshida, Hiroki Maeda, Takao Maekita, Mikitaka Iguchi, Hideyuki Tamai, Masao Ichinose, Jun Kato; Clin Endosc 2017;50(4):372-378. Published online January 20, 2017; DOI: https://doi.org/10.5946/ce.2016.083

Abstract PDF PubReader ePub

Background
/Aims: Endoscopic ultrasonography-guided fine-needle aspiration (EUS-FNA) has been used to diagnose gastrointestinal submucosal tumors (SMTs). Although rapid on-site evaluation (ROSE) has been reported to improve the diagnostic accuracy of EUS-FNA for pancreatic lesions, on-site cytopathologists are not routinely available. Given this background, the usefulness of ROSE by endosonographers themselves for pancreatic tumors has also been reported. However, ROSE by endosonographers for diagnosis of SMT has not been reported. The aim of this study was to evaluate the diagnostic accuracy of EUS-FNA with ROSE by endosonographers for SMT, focusing on diagnosis of gastrointestinal stromal tumor (GIST), compared with that of EUS-FNA alone.
Methods
Twenty-two consecutive patients who underwent EUS-FNA with ROSE by endosonographers for SMT followed by surgical resection were identified. Ten historical control subjects who underwent EUS-FNA without ROSE were used for comparison.
Results
The overall diagnostic accuracy for SMT was significantly higher in cases with than without ROSE (100% vs. 80%, p=0.03). The number of needle passes by FNA with ROSE by endosonographers tended to be fewer, although accuracy was increased (3.3±1.3 vs. 5.9±3.8, p=0.06).
Conclusions
ROSE by endosonographers during EUS-FNA for SMT is useful for definitive diagnosis, particularly for GIST.

Citations

Citations to this article as recorded by

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Tetsuhiko Hirai, Junro Ishizaki, Hiroshi Imaizumi, Myontyori Kim, Yoichi Saegusa, Akinori Tamaki, Masafumi Watanabe, Hironori Masutani, Kosuke Okuwaki, Mitsuhiro Kida, Chika Kusano
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8,702 View
235 Download
15 Web of Science
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