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Duodenal perforation: unusual complication of gastrostomy tube replacement

Soo-Hong Kim1, Sa-Hong Min2, Hyun-Young Kim2

  • 1Department of Pediatric Surgery, Pusan National University Children's Hospital, Yangsan, Korea.

Pediatric Gastroenterology, Hepatology & Nutrition
|July 26, 2014
PubMed

Insights

Gastrostomy tube replacement is usually safe for children. A rare case highlights the risk of duodenal perforation, emphasizing the need for caution in young children undergoing this procedure.

Area of Science:

  • Pediatric surgery
  • Gastroenterology

Background:

  • Feeding gastrostomy is a common intervention for pediatric feeding impairments.
  • Gastrostomy tube replacement is generally considered a low-risk procedure.

Observation:

  • A 33-month-old girl experienced acute duodenal perforation following gastrostomy tube replacement.
  • This complication is rare, particularly in young children with smaller stomachs.

Findings:

  • Duodenal perforation represents a serious, albeit uncommon, acute complication of gastrostomy tube replacement.
  • The anatomical characteristics of small children necessitate careful consideration during tube replacement.

Implications:

  • Highlights the importance of specialized techniques and vigilance during gastrostomy tube replacement in pediatric patients.
  • Suggests a need for further investigation into risk factors and preventative measures for rare complications like duodenal perforation.

Keywords:
ChildDuodenal perforationGastrostomyReplacement

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