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Yang HH, Ke CJ, Shih TH. Duodenal perforation after gastrostomy tube replacement: Case report and literature review. Ci Ji Yi Xue Za Zhi. 2019;31(4):280-282doi: 10.4103/tcmj.tcmj_122_18.
Yang, H. H., Ke, C. J., & Shih, T. H. (2019). Duodenal perforation after gastrostomy tube replacement: Case report and literature review. Ci ji yi xue za zhi = Tzu-chi medical journal, 31(4), 280-282. https://doi.org/10.4103/tcmj.tcmj_122_18
Yang, Hsiao-Hui, et al. "Duodenal perforation after gastrostomy tube replacement: Case report and literature review." Ci ji yi xue za zhi = Tzu-chi medical journal vol. 31,4 (2019): 280-282. doi: https://doi.org/10.4103/tcmj.tcmj_122_18
Yang HH, Ke CJ, Shih TH. Duodenal perforation after gastrostomy tube replacement: Case report and literature review. Ci Ji Yi Xue Za Zhi. 2019 Sep 16;31(4):280-282. doi: 10.4103/tcmj.tcmj_122_18. eCollection 2019. PMID: 31867259; PMCID: PMC6905241.
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Ci Ji Yi Xue Za Zhi. 2019 Sep 16;31(4):280-282. doi: 10.4103/tcmj.tcmj_122_18. eCollection 2019.

Duodenal perforation after gastrostomy tube replacement: Case report and literature review.

Ci ji yi xue za zhi = Tzu-chi medical journal

Hsiao-Hui Yang, Chia-Jung Ke, Ting-Han Shih

Affiliations

  1. Division of General Surgery, Department of Surgery, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
  2. Division of Colorectal Surgery, Department of Surgery, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.

PMID: 31867259 PMCID: PMC6905241 DOI: 10.4103/tcmj.tcmj_122_18

Abstract

Gastrostomy is commonly used to provide long-term enteral access for patients with feeding impairment. Routine replacement is a safe procedure, but it has various complications. We present a case of nasopharyngeal cancer, who visited the emergency department for gastrostomy tube dislodgement. Diffuse abdominal pain developed 3 days after replacement of the gastrostomy tube with a temporary silicone Foley tube. Emergency diagnostic laparoscopy was performed and found tip migration and causing duodenal perforation. Tip migration and compression necrosis of mucosa were the possible mechanisms. The condition was successfully treated by emergency laparoscopic duodenorrhaphy.

Copyright: © 2019 Tzu Chi Medical Journal.

Keywords: Duodenal perforation; Gastrostomy; Replacement

Conflict of interest statement

There are no conflicts of interest.

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