Catheter traction and gastric outlet obstruction: a repeated complication of using a Foley catheter for gastrostomy tube replacement.

Abstract:

BACKGROUND:Percutaneous endoscopic gastrostomy (PEG) is a safe procedure and major morbidity is unusual. However, the number of PEG fed patients is increasing all over the world and complications may become more and more frequent. CASE REPORT:We describe a 73 years old woman with persistent vomit after replacement of the standard PEG tube with a Foley catheter. An upper GI endoscopy showed the catheter pulled into the duodenum causing gastric outlet obstruction. It was removed and replaced by a suitable standard PEG tube, allowing PEG feeding to be resumed. DISCUSSION:Previous reports pointed the risk of this complication, almost always associated with insertion of a Foley-type catheter. Replacement of PEG tubes should be performed by experienced teams using standard PEG tubes and the use of Foley-type catheters for this purpose should be banned from routine practice.

journal_name

Nutr Hosp

journal_title

Nutricion hospitalaria

authors

Fonseca J,Nunes G,Patita M,Barosa R,Santos CA

doi

10.20960/nh.693

subject

Has Abstract

pub_date

2017-03-30 00:00:00

pages

499-501

issue

2

eissn

0212-1611

issn

1699-5198

journal_volume

34

pub_type

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