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

Jorge Fonseca, Gonçalo Nunes, Marta Patita, Rita Barosa, Carla Adriana Santos

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Resumo

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.

Idioma original???core.languages.en_GB???
Páginas (de-até)499-501
Número de páginas3
RevistaNutricion Hospitalaria
Volume34
Número de emissão2
DOIs
Estado da publicação???researchoutput.status.published??? - 2017

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