Retrospective analyses of complications associated with transcutaneous replacement of percutaneous gastrostomy and jejunostomy feeding devices

Duodenal Perforation: Unusual Complication of Gastrostomy Tube Replacement

“…The overall reported complication rate of gastrostomy tube replacement is 1.3% [2]. Fistula disruption is the most common complication and known as critical complication that lead to peritonitis.…”

“…In most cases, if the complications are detected early and peritonitis does not develop, just reposition of the gastrostomy tube and conservative care is enough treatment in many cases. On the contrary, if the detection is late and peritonitis occurs, operative procedures are needed and bad results can be obtained [2,5]. …”

“…Although the radiation from confirmatory imaging is low, patients fed with gastrostomy were performed frequent imaging studies with higher cumulative radiation exposure. The rate of misplacement was very low in the previous study; therefore, the need of a confirmatory study is limited [2,3]. In small children with small stomachs, instead of confirmatory image, replacement with radiologic guide, such as fluoroscopy, can be considered.…”

“…Although initial placement of gastrostomy tube was successful, the tube should be replaced to maintain long-term enteral access. Various complications associated with replacement of the gastrostomy tube were reported, such as fistula disruption, colo-cutaneous fistula, gastric outlet obstruction, pancreatitis, cholangitis, hemorrhage, gastric ulcer, small bowel obstruction and esophageal perforation [2,3,4]. We encountered duodenal perforation as an acute complication of gastrostomy tube replacement with balloon type gastrostomy tube.…”

Cervical oesophagostomy in patients with severe dysphagia following radiotherapy for nasopharyngeal carcinoma

“…Gastrostomy and percutaneous gastrostomy enable distinct improvement in patient nutrition, as a wider tube can be used; however, they also have significant negative effects on the patient's quality of life due to the abdominal stoma tube interfering with daily activities (e.g. bathing, dressing and transportation), and in addition pose a risk of local infection 14 , 15 . Jejunostomy requires the use of a tube of smaller inner diameter, limiting the patient to a specific liquid diet; furthermore, the tube cannot remain in position long term, and replacement requires re-operation.…”