Abstract

Percutaneous Gastrostomy (PEG) tube is an endoscopic-guided procedure to provide enteral nutrition, medications and/or fluids to patients with oral or esophageal pathologies. PEG tubes are a relatively safe intervention but commonly known to have complications like insertion site infection, tube leakage, and tube blockage. This was an unusual case in which the PEG tube was discovered to be obstructing the third part of the duodenum after migration resulting in mechanical gastric obstruction with septic shock and severe hemodynamic instability. PEG induced gastric obstruction is often misdiagnosed during a triage due to the atypical presentation of this condition leading to aggressive management, testing and consultations. PEG dependent patients have rapidly increased over the years and a complete physical examination of the PEG site should be performed by all physicians in order to prevent related complications.

Details

Title
Unusual complication of a percutaneous gastrostomy tube
Author
Malik, Fahad 1   VIAFID ORCID Logo  ; Baig, Sher N 1 ; Patel, Bhavin 1 ; Gonzalez, Manuel 2   VIAFID ORCID Logo  ; Nfonoyim, Jay 1 

1  Medicine, Richmond University Medical Center, Staten Island, NY, USA 
2  Gastroenterology, Richmond University Medical Center, Staten Island, NY, USA 
End page
326
Publication year
2019
Publication date
Jul 2019
Publisher
Greater Baltimore Medical Center
e-ISSN
20009666
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1080/20009666.2019.1650410
ProQuest document ID
2332146932
Copyright
© 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center. This work is licensed under the Creative Commons  Attribution – Non-Commercial License http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.