Migration of a Percutaneous Endoscopic Gastrojejunostomy Tube into the Colon with Small Intestinal Telescoping
Continuous duodenal levodopa/carbidopa intestinal gel delivery by a gastrostomy infusion system improves control of Parkinson’s disease. The overall complication rates of percutaneous endoscopic gastrojejunostomy were reported to be 41% and 59% for immediate and delayed adverse events, respectively....
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Gastrointestinal Endoscopy
2019-11-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2019-016.pdf |
| _version_ | 1827612050644271104 |
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| author | Shinya Taki Takao Maekita Mayumi Sakata Kazuhiro Fukatsu Yoshimasa Maeda Mikitaka Iguchi Hidefumi Ito Masayuki Kitano |
| author_facet | Shinya Taki Takao Maekita Mayumi Sakata Kazuhiro Fukatsu Yoshimasa Maeda Mikitaka Iguchi Hidefumi Ito Masayuki Kitano |
| author_sort | Shinya Taki |
| collection | DOAJ |
| description | Continuous duodenal levodopa/carbidopa intestinal gel delivery by a gastrostomy infusion system improves control of Parkinson’s disease. The overall complication rates of percutaneous endoscopic gastrojejunostomy were reported to be 41% and 59% for immediate and delayed adverse events, respectively. A 72-year-old woman underwent percutaneous endoscopic gastrojejunostomy using the delivery system noted above. Abdominal pain and vomiting occurred 3 months later. Esophagogastroduodenoscopy showed a longitudinal ulcer extending from the lower gastric body to the ileum end, with small intestinal telescoping. Colonoscopy showed a large bezoar of food residue that was attached around the tip of the tube, reaching the ascending colon, which may have acted as an anchor. Thus, the gastric antrum and small intestine were shortened with telescoping. This complication was resolved by crushing the bezoar with forceps during colonoscopy and can be prevented by consuming a fiber-free diet and periodic exchanges of the tube using esophagogastroduodenoscopy. |
| first_indexed | 2024-03-09T08:16:53Z |
| format | Article |
| id | doaj.art-a20ad69b3e90446a8da8f929d1f1fa2b |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-09T08:16:53Z |
| publishDate | 2019-11-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-a20ad69b3e90446a8da8f929d1f1fa2b2023-12-02T22:10:47ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432019-11-0152661661910.5946/ce.2019.0167285Migration of a Percutaneous Endoscopic Gastrojejunostomy Tube into the Colon with Small Intestinal TelescopingShinya Taki0Takao Maekita1Mayumi Sakata2Kazuhiro Fukatsu3Yoshimasa Maeda4Mikitaka Iguchi5Hidefumi Ito6Masayuki Kitano7 Department of Gastroenterology, School of Medicine, Wakayama Medical University, Wakayama, Japan Department of Gastroenterology, School of Medicine, Wakayama Medical University, Wakayama, Japan Department of Neurology, School of Medicine, Wakayama Medical University, Wakayama, Japan Department of Gastroenterology, School of Medicine, Wakayama Medical University, Wakayama, Japan Department of Gastroenterology, School of Medicine, Wakayama Medical University, Wakayama, Japan Department of Gastroenterology, School of Medicine, Wakayama Medical University, Wakayama, Japan Department of Neurology, School of Medicine, Wakayama Medical University, Wakayama, Japan Department of Gastroenterology, School of Medicine, Wakayama Medical University, Wakayama, JapanContinuous duodenal levodopa/carbidopa intestinal gel delivery by a gastrostomy infusion system improves control of Parkinson’s disease. The overall complication rates of percutaneous endoscopic gastrojejunostomy were reported to be 41% and 59% for immediate and delayed adverse events, respectively. A 72-year-old woman underwent percutaneous endoscopic gastrojejunostomy using the delivery system noted above. Abdominal pain and vomiting occurred 3 months later. Esophagogastroduodenoscopy showed a longitudinal ulcer extending from the lower gastric body to the ileum end, with small intestinal telescoping. Colonoscopy showed a large bezoar of food residue that was attached around the tip of the tube, reaching the ascending colon, which may have acted as an anchor. Thus, the gastric antrum and small intestine were shortened with telescoping. This complication was resolved by crushing the bezoar with forceps during colonoscopy and can be prevented by consuming a fiber-free diet and periodic exchanges of the tube using esophagogastroduodenoscopy.http://www.e-ce.org/upload/pdf/ce-2019-016.pdfbezoarlevodopa/carbidopa intestinal gelparkinson’s diseasepercutaneous endoscopic gastrostomy |
| spellingShingle | Shinya Taki Takao Maekita Mayumi Sakata Kazuhiro Fukatsu Yoshimasa Maeda Mikitaka Iguchi Hidefumi Ito Masayuki Kitano Migration of a Percutaneous Endoscopic Gastrojejunostomy Tube into the Colon with Small Intestinal Telescoping Clinical Endoscopy bezoar levodopa/carbidopa intestinal gel parkinson’s disease percutaneous endoscopic gastrostomy |
| title | Migration of a Percutaneous Endoscopic Gastrojejunostomy Tube into the Colon with Small Intestinal Telescoping |
| title_full | Migration of a Percutaneous Endoscopic Gastrojejunostomy Tube into the Colon with Small Intestinal Telescoping |
| title_fullStr | Migration of a Percutaneous Endoscopic Gastrojejunostomy Tube into the Colon with Small Intestinal Telescoping |
| title_full_unstemmed | Migration of a Percutaneous Endoscopic Gastrojejunostomy Tube into the Colon with Small Intestinal Telescoping |
| title_short | Migration of a Percutaneous Endoscopic Gastrojejunostomy Tube into the Colon with Small Intestinal Telescoping |
| title_sort | migration of a percutaneous endoscopic gastrojejunostomy tube into the colon with small intestinal telescoping |
| topic | bezoar levodopa/carbidopa intestinal gel parkinson’s disease percutaneous endoscopic gastrostomy |
| url | http://www.e-ce.org/upload/pdf/ce-2019-016.pdf |
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