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Complications of gastrostomy
J P Huff1, J Rosenblum, D S Camara
1Department of Medicine, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Ill.
Southern Medical Journal
|August 1, 1988
Summary
Gastrostomy procedures can lead to rare complications like inadvertent duodenostomy causing gastric outlet obstruction and feeding tube migration into the jejunum, leading to small bowel obstruction.
Area of Science:
- Gastroenterology
- Surgical Complications
- Medical Device Malposition
Background:
- Gastrostomy is a common procedure for enteral feeding.
- Despite its perceived simplicity, gastrostomy is associated with significant complication rates.
Observation:
- Two unusual gastrostomy complications were observed.
- These involved inadvertent duodenostomy and feeding tube migration.
Findings:
- Inadvertent duodenostomy resulted in gastric outlet obstruction.
- Gastrostomy tube migration into the jejunum caused small bowel obstruction.
Implications:
- Highlights the need for careful technique during gastrostomy placement.
- Emphasizes awareness of potential, uncommon complications for timely diagnosis and management.
- Suggests improved device design or placement protocols may be warranted.