Duodenogastric intussusception causing gastric outlet obstruction

Case Report: Retrograde Jejunoduodenal Intussusception Caused by a Migrated Percutaneous Endoscopic Gastrostomy Tube

“…It may occur as a complication of gastrostomy tube migration. There have been only a few case reports in the English literature on this subject (9)(10)(11)(12)(13)(14)(15). Almost all of these cases were secondary to distal migration of a Foley-type catheter gastrostomy tube, which lacked an external fixation device or a bolster.…”

Retrograde jejunoduodenogastric intussusception due to a replacement percutaneous gastrostomy tube presenting as upper gastrointestinal bleeding

“…Retrograde intussusception is very rare and can occur as a complication of gastrostomy tube migration. In the English literature on this subject, only 9 cases have been reported [9][10][11][12][13][14][15][16][17] . Nearly all of these cases were secondary to distal migration of a Foley catheter gastrostomy tube lacking an external fixation device or support.…”

“…The exact mechanism leading to retrograde intussusception is unknown. Oswald et al [11] suggested that migration of the gastrostomy tube is the initiating event resulting in telescoping of the mobile jejunum over the tip of an impacted gastrostomy tube into the proximal duodenum. Lamont and Rode [12] have proposed a different mechanism with passage of an inflated Foley gastrostomy catheter migrating past the pylorus into the small bowel, resulting in balloon fixation.…”

A Case of Retrograde Jejunoduodenal Intussusception Caused by a Feeding Gastrostomy Tube

“…Retrograde intussusception has most commonly been reported as a complication of long intestinal tubes or gastrojejunostomies .19-21 Retrograde intussusception has been a rare complication of feeding gastrostomy tube migration. The pathogenesis of retrograde intussusception associated with a feeding gastrostomy was first proposed by Oswald et al 9 They implicated prolapse or migration of the gastrostomy tube as the initiating event. The natural peristalsis of the jejunum against the fixed tip of the feeding tube then resulted in telescoping of the more mobile jejunum up over the tip of the tube into the proximal duodenum.…”

“…Common complications include infections, stomal leaks, migration, and ulceration .2-1 Retrograde intussusception, defined as the telescoping or invagination of a distal segment of intestine (the intussusceptum) into the receiving proximal end (the intussuscipiens), has been reported as a complication of gastrostomy tubes in five cases in the English literature. 2,[8][9][10][11] We report here another case of retrograde jejunoduodenogastric intussusception associated with a Foley catheter used as a gastrostomy feeding tube.…”