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World J Emerg Surg. 2014 Mar 28;9(1):23. doi: 10.1186/1749-7922-9-23.

Gastrostomy tube dislodgment acute pancreatitis.

World journal of emergency surgery : WJES

Eran Brauner, Yoram Kluger

Affiliations

  1. Department of General Surgery, Rambam Health Care Campus, Haifa, Israel. [email protected].

PMID: 24674106 PMCID: PMC3974449 DOI: 10.1186/1749-7922-9-23

Abstract

Percutaneous gastrostomy is well established root for long term feeding of patients who cannot be fed orally. The risks of percutanous gastrostomy insertion are low. Tube related complications often resolved by placing a Foley catheter or other balloon gastrostomy tube as a temporary solution. Gastrostomy tube related gastric, duodenal and billiary obstruction were reported. Gastrostomy tube related pancreatitis is scarcely described. We described a patient who suffered a pancreatitis related to Foley catheter gastrostomy dislodgment. Reviewing all reported cases of gastrostomy related pancreatitis revealed higher incidence in patient with Foley catheter used as gastrostomy and revealed questionable trends in conducting tube replacement. We suggest a proper manner for tube replacement and concluded that should a Foley catheter used as a temporary solution a replacement should be schedule in a timely manner to avoid life threatening complications.

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