Revision of Long‐term Gastrostomy

Siddiqui, Mohammad Mamun; Griffiths, Mervyn

doi:10.1097/mpg.0b013e3182584c05

Cited by 5 publications

(2 citation statements)

References 4 publications

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“…If migration happens, prompt medical attention is required as the tube can cause serious adverse events, such as gastric outlet obstruction, acute pancreatitis, obstructive jaundice, and small bowel obstruction with perforation [ 7 , 8 ]. Endoscopic treatment should be performed if the catheter is still in the stomach; however, surgery will be needed if severe complications appear [ 10 ]. In our case, the nurse quickly detected the migration of the catheter, and the patient was brought immediately to the emergency room.…”

Section: Discussionmentioning

confidence: 99%

When a gastrostomy tube goes missing, acute bowel obstruction due to a migrated Foley catheter

Molina,

Ludeña,

Arcia

et al. 2024

Journal of Surgical Case Reports

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A gastrostomy is a common procedure for patients with swallowing problems or inability to maintain regular oral nutrition. These gastrostomy tubes need special attention, as complications can occur if the tubes are left unattended. In rare scenarios, these tubes can migrate and cause severe life-threatening difficulties such as bowel obstruction and pancreatitis. We present the case of a 76-year-old quadriplegic woman who had a gastrostomy tube. Suddenly, the tube was missing, and after urgent medical care, the gastrostomy tube was found within her bowel. After successful surgery, she recovered from this incident.

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Section: Discussionmentioning

confidence: 99%

When a gastrostomy tube goes missing, acute bowel obstruction due to a migrated Foley catheter

Molina,

Ludeña,

Arcia

et al. 2024

Journal of Surgical Case Reports

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“…For these patients, radiologic or surgical placement may be preferable. There have been reports of safe percutaneous gastrostomy tube placement in pregnant women, but the risk of sedation should be considered 6 . Ascites is usually a contraindication to percutaneous gastrostomy tube placement because of the risk of ascitic fluid leakage and peritonitis.…”

Section: Gastrostomy Tubes and Their Placementmentioning

confidence: 99%

Tutorial on adult enteral tube feeding: Indications, placement, removal, complications, and ethics

Ley

Austin

Wilson

et al. 2023

J Parenter Enteral Nutr

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Enteral nutrition, generally preferred to parenteral nutrition, is indicated when patients cannot meet their energy and metabolic demands. Gastrostomy tubes are placed directly into the stomach (either endoscopically, surgically, or radiologically) through the abdominal wall. Routine gastrostomy tube care is important to maintain well-functioning tubes. Postpyloric feeding tubes are preferable to gastric feeding tubes if patients have a history of aspiration, gastroesophageal reflux, severe gastroparesis, and/or recurrent nausea and vomiting. Feeding jejunostomy tubes are placed surgically and are indicated if gastric feeding is unsafe or impossible. Duallumen gastrojejunostomy tubes are used when both gastric decompression and feeding are desired. The general risks of enteral tube feeding include diarrhea, metabolic derangements, and aspiration. Additional complications for gastrostomy tubes, which can arise at any time, include tube dysfunction (clogging or deterioration), infection, bleeding, peristomal leakage, ulceration, gastric outlet obstruction, and accidental removal. After percutaneous endoscopic gastrostomy placement, there are also early or late complications that may occur. Multiple factors should be considered in the decision-making process for feeding tube placement. It is important to be realistic about the patient's prognosis and goals and to discuss the risks and benefits ahead of time. Consultation with palliative care or clinical ethics specialists should be considered in certain clinical scenarios.

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Low-Profile Balloon Gastrostomy Tubes for Nutritional Support in Children

Rahhal¹

2015

Diet and Nutrition in Critical Care

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Revision of Long‐term Gastrostomy

Cited by 5 publications

References 4 publications

When a gastrostomy tube goes missing, acute bowel obstruction due to a migrated Foley catheter

When a gastrostomy tube goes missing, acute bowel obstruction due to a migrated Foley catheter

Tutorial on adult enteral tube feeding: Indications, placement, removal, complications, and ethics

Low-Profile Balloon Gastrostomy Tubes for Nutritional Support in Children

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