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Foley feeding catheter migration into the small bowel
M Cassaday1, S C Kadakia, K Yamamoto
1Gastroenterology Service, Brooke Army Medical Center, San Antonio, Texas.
Journal of Clinical Gastroenterology
|October 1, 1992
Summary
Percutaneous endoscopic gastrostomy (PEG) tube replacement can lead to Foley catheter migration into the jejunum. This rare complication causes stoma site infection and impaction, necessitating preventative techniques.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Medical Device Complications
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a vital non-surgical method for enteral nutrition.
- Replacement of PEG tubes, often with Foley catheters, is sometimes necessary due to deterioration or accidental dislodgement.
- Ensuring secure and correct placement of replacement tubes is crucial for patient safety and effective feeding.
Observation:
- A case is presented where a replacement Foley catheter migrated from the stomach into the jejunum.
- The catheter hub became impacted within the abdominal wall at the stoma site.
- This resulted in localized infection and significant stoma site complications.
Findings:
- Foley catheter migration into the jejunum following PEG tube replacement is a rare but serious complication.
- Impaction of the catheter hub can lead to infection and difficulties at the stoma site.
- The study highlights the need for vigilance during PEG tube replacement procedures.
Implications:
- A simple technique is proposed to prevent Foley catheter migration after PEG tube replacement.
- Implementing preventative measures can reduce the incidence of stoma site infections and complications.
- Improved patient outcomes and reduced healthcare costs associated with managing PEG complications are anticipated.