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Unusual Complication of Percutaneous Gastrostomy Tube Replacement
Si Ru Liang1, Gyanprakash Ketwaroo1,2, Basile Njei1
1Digestive Diseases, Yale School of Medicine, New Haven, CT.
None:
Percutaneous endoscopic gastrostomy tubes are commonly used for long-term nutritional support in patients with impaired swallowing due to neurological conditions, malignancy, or critical illness. Although placement, removal, and replacement are generally safe, complications may occur. We report a case of complete gastric outlet obstruction due to unusually deep percutaneous endoscopic gastrostomy tube insertion during replacement in a 63-year-old man with esophageal cancer. Symptoms resolved after repositioning the tube. This case highlights the need for proper training and postreplacement verification to ensure safe outcomes.
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