scholarly journals Acute obstructive pancreatitis secondary to migration of a gastrostomy tube into duodenum

2021 ◽  
Author(s):  
Waka Yanagisawa ◽  
Daniel Oh ◽  
Dinushi Perera ◽  
Sebastian Rodrigues
Keyword(s):  
Acute Pancreatitis ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Rare Complication ◽  
Ampulla Of Vater ◽  
Gastrostomy Tube ◽  
Common Procedure ◽  
Endoscopic Gastrostomy ◽  
Obstructive Pancreatitis ◽  
Tube Migration ◽  
Peg Tube

Percutaneous endoscopic gastrostomy (PEG) tube is a common procedure. This discusses the rare complication of acute pancreatitis, due to tube migration, causing obstruction of the ampulla of Vater. Radiological confirmation of tubes prior to usage may aid in preventing this reversible complication.

Migrated PEG balloon causing acute pancreatitis

2021 ◽  
Vol 14 (4) ◽  
pp. e240605
Author(s):  
Muhammad Omar Saeed ◽  
Thomas Fleck ◽  
Ashish Awasthi ◽  
Chander Shekhar
Keyword(s):  
Acute Pancreatitis ◽  
Rare Complication ◽  
Feeding Tube ◽  
Gastrostomy Tube ◽  
Mr Cholangiopancreatography ◽  
Common Procedure ◽  
Oral Nutrition ◽  
Endoscopic Gastrostomy ◽  
Fixation Plate ◽  
Peg Tube

Percutaneous endoscopic gastrostomy (PEG) is a common procedure for an unsafe swallow or inability to maintain oral nutrition. When a PEG tube needs replacement, a balloon gastrostomy tube is usually placed through the same, well formed and mature tract without endoscopy. We present a patient with a rare complication related to the balloon gastrostomy tube, to raise awareness and minimise the risk of this complication in the future. A 67-year-old female patient presented to the emergency department with severe abdominal pain and vomiting. Her gastrostomy feeding tube displaced inwards, up to the feeding-balloon ports complex. After investigations, she was diagnosed with acute pancreatitis. MR cholangiopancreatography (MRCP) confirmed features of this and, interestingly, an inflated gastrostomy balloon could be seen abutting the major and minor ampullae. The patient confirmed that the PEG tube had been changed to a balloon gastrostomy tube some time ago, but the external fixation plate (external bumper) had been loose lately, with the tube repeatedly moving inwards. She admitted that, 1 day before admission, the PEG tube had receded into the stomach and could not be pulled out with a gentle tug. After reviewing the MRCP images, the balloon was deflated, and the tube retracted. Once correctly placed, the balloon was reinflated, and her symptoms improved over the next 2 days.

scholarly journals The Challenging Buried Bumper Syndrome after Percutaneous Endoscopic Gastrostomy

2016 ◽  
Vol 10 (2) ◽  
pp. 224-232 ◽  
Author(s):  
Ibrahim Afifi ◽  
Ahmad Zarour ◽  
Ammar Al-Hassani ◽  
Ruben Peralta ◽  
Ayman El-Menyar ◽  
...  
Keyword(s):  
Septic Shock ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Rare Complication ◽  
Kidney Injury ◽  
Stomach Wall ◽  
Rapid Progression ◽  
Tube Insertion ◽  
Endoscopic Gastrostomy ◽  
Buried Bumper Syndrome ◽  
Peg Tube

Buried bumper syndrome (BBS) is a rare complication developed after percutaneous endoscopic gastrostomy (PEG). We report a case of a 38-year-old male patient who sustained severe traumatic brain injury that was complicated with early BBS after PEG tube insertion. On admission, bedside PEG was performed, and 7 days later the patient developed signs of sepsis with rapid progression to septic shock and acute kidney injury. Abdominal CT scan revealed no collection or leakage of the contrast, but showed malpositioning of the tube bumper at the edge of the stomach and not inside of it. Diagnostic endoscopy revealed that the bumper was hidden in the posterolateral part of the stomach wall forming a tract inside of it, which confirmed the diagnosis of BBS. The patient underwent laparotomy with a repair of the stomach wall perforation, and the early postoperative course was uneventful. Acute BBS is a rare complication of PEG tube insertion which could be manifested with severe complications such as pressure necrosis, peritonitis and septic shock. Early identification is the mainstay to prevent such complications. Treatment selection is primarily guided by the presenting complications, ranging from simple endoscopic replacement to surgical laparotomy.

Meningitis Due to Enterobacter aerogenes Subsequent to Resection of Acoustic Neuroma and Percutaneous Endoscopic Gastrostomy Tube Placement: A Rare Nosocomial Event

2003 ◽  
Vol 24 (10) ◽  
pp. 780-782 ◽  
Author(s):  
David M. Poetker ◽  
Charles E. Edmiston ◽  
Michelle M. Smith ◽  
Glenn A. Meyer ◽  
Phillip A. Wackym
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Acoustic Neuroma ◽  
Enterobacter Aerogenes ◽  
Intervention Strategies ◽  
Gastrostomy Tube ◽  
Tube Placement ◽  
Percutaneous Endoscopic Gastrostomy Tube ◽  
Endoscopic Gastrostomy ◽  
Gastrostomy Tube Placement ◽  
Peg Tube

AbstractWe present a case of meningitis after percutaneous endoscopic gastrostomy (PEG) tube placement subsequent to acoustic neuroma resection and cranioplasty. Four days following PEG tube placement the patient developed Enterobacter aerogenes meningitis, requiring explantation of infected cranioplasty material. His condition subsequently improved. Etiology and future intervention strategies are discussed (Infect Control Hosp Epidemiol 2003;24:780-782).

scholarly journals A case of small-bowel obstruction after insertion of a percutaneous endoscopic gastrostomy tube due to mesenteric penetration

2015 ◽  
Vol 97 (5) ◽  
pp. e79-e80 ◽  
Author(s):  
J Roos
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Gastrostomy Tube ◽  
Percutaneous Endoscopic Gastrostomy Tube ◽  
Endoscopic Gastrostomy ◽  
Direct Injury ◽  
Peg Tube

A case of small-bowel obstruction after insertion of a percutaneous endoscopic gastrostomy (PEG) tube is described. At laparotomy, the PEG tube was found to have penetrated the jejunal mesentery at two points, thereby acting as a focus for a volvulus. Direct injury and obstruction to the small bowel have been described but volvulus due to mesenteric penetration has not.

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