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Small bowel obstruction from a dislodged feeding tube
Moshe Kamar1, Avner Bar-Dayan, Oded Zmora
1Department of Surgery and Transplantation, Sheba Medical Center, Tel Hashomer, Israel. Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Age and Ageing
|December 30, 2003
Summary
Elderly patients in nursing homes often need enteral feeding due to poor nutrition. This case highlights an unusual gastrostomy tube complication, emphasizing the need for proper tube care.
Area of Science:
- Geriatric Medicine
- Gastroenterology
- Medical Device Complications
Background:
- Elderly nursing home residents frequently experience inadequate oral nutritional intake.
- Enteral feeding is essential for maintaining nutritional status in some patients.
- Nasogastric tubes cause discomfort and complications, making gastrostomy tubes preferable for long-term feeding.
Observation:
- Percutaneous endoscopic gastrostomy (PEG) tube insertion is generally safe and feasible.
- This case details an uncommon complication associated with gastrostomy tube use.
Findings:
- Gastrostomy tubes, while beneficial for long-term enteral nutrition, can present unique challenges.
- An unusual complication related to gastrostomy tube management was observed.
Implications:
- Highlights the critical importance of meticulous gastrostomy tube care in elderly patients.
- Suggests a need for enhanced protocols and vigilance in managing enteral feeding devices.
- Underscores potential risks associated with long-term enteral nutrition support devices.