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An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
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Esophageal obstruction after incomplete removal of a percutaneous endoscopic gastrostomy tube

G I Kleiner1, T M Vergara

  • 1Department of Pediatrics, Mount Sinai Medical Center, New York, NY 10029, USA.

Pediatric Emergency Care
|May 16, 1998
PubMed

Insights

A retained percutaneous endoscopic gastrostomy (PEG) bumper caused esophageal obstruction in a child, leading to vomiting and fever. Endoscopic removal successfully resolved the foreign body obstruction without complications.

Area of Science:

  • Pediatric Gastroenterology
  • Medical Device Complications

Background:

  • Foreign body ingestion/retention is a concern in pediatrics.
  • Percutaneous endoscopic gastrostomy (PEG) tubes are common devices for enteral feeding.

Purpose of the Study:

  • To report a case of esophageal foreign body retention from a PEG bumper.
  • To highlight diagnostic and management strategies for this rare complication.

Main Methods:

  • Case report of a two-year-old boy with vomiting and fever.
  • Diagnostic imaging (chest x-ray) to identify foreign body.
  • Endoscopic removal of the retained PEG bumper.

Main Results:

  • Chest x-ray confirmed a foreign body in the esophagus.
  • Endoscopic removal of the plastic bumper was successful.
  • The child's symptoms resolved post-procedure.

Conclusions:

  • Retained PEG components can cause significant gastrointestinal issues.
  • Prompt diagnosis and endoscopic intervention are crucial for managing such complications.

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