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Enteral Nutrition I: Orogastric and Nasogastric Feeding

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Related Experiment Video

Updated: Mar 31, 2026

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

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Published on: September 22, 2023

Feeding tube replacement: not always that simple!

Mateus Quitembo Soares da Silva¹, Alex Lederman², Ricardo Frank Coelho da Rocha²

¹Surgery Division - Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil . ; Surgery Department - Clínica Girassol, Luanda - Angola .

Autopsy & Case Reports

|October 21, 2015

Summary

Surgical gastrostomy complications, like tube dislodgement, can be fatal. Meticulous feeding tube insertion and imaging are crucial for patient safety and preventing severe outcomes.

Keywords:

Gastrostomy Peritonitis Shock Septic

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Area of Science:

Medicine
Surgery
Gastroenterology

Background:

Surgical gastrostomy is a common procedure for nutritional support in patients with swallowing disorders.
Early post-operative complications include tube dislodgement, stomal infections, peritonitis, and pneumonia.

Observation:

An 83-year-old man with a swallowing disorder post-ischemic stroke underwent surgical gastrostomy.
Nine months later, the feeding tube dislodged, and reinsertion created a false path, leading to an intra-abdominal abscess after diet infusion.

Findings:

Delayed and difficult reinsertion of a dislodged gastrostomy tube can result in severe complications.
The patient's intra-abdominal abscess, secondary to a false path, proved fatal.

Implications:

This case highlights the critical need for careful technique during gastrostomy tube reinsertion.
Routine imaging to confirm accurate tube placement is strongly advised to prevent life-threatening complications.