Jejunal perforation caused by a feeding jejunostomy tube: a case report
<p>Abstract</p> <p>Introduction</p> <p>Percutaneous endoscopic gastrostomy and feeding jejunostomy are used for providing long-term nutritional support to patients with neurological disorders. Various mechanical complications of these procedures are described.</p>...
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| Format: | Article |
| Language: | English |
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BMC
2008-06-01
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| Series: | Journal of Medical Case Reports |
| Online Access: | http://www.jmedicalcasereports.com/content/2/1/224 |
| _version_ | 1811318038408986624 |
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| author | Stylianides Nicholas A Date Ravindra S Pursnani Kishor G Ward Jeremy B |
| author_facet | Stylianides Nicholas A Date Ravindra S Pursnani Kishor G Ward Jeremy B |
| author_sort | Stylianides Nicholas A |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Introduction</p> <p>Percutaneous endoscopic gastrostomy and feeding jejunostomy are used for providing long-term nutritional support to patients with neurological disorders. Various mechanical complications of these procedures are described.</p> <p>Case presentation</p> <p>We report a case of a 17-year-old boy with cerebral injury who had a percutaneous endoscopic gastrostomy tube changed to a feeding jejunostomy tube. Twenty-four hours later he developed abdominal pain and became clinically septic. A contrast study through the feeding tube and a subsequent computed tomography scan did not reveal any intra-abdominal pathology. At laparotomy it was discovered that the tip of the feeding tube had perforated through the jejunal wall and was lying outside the lumen. This was successfully treated by re-inserting a feeding jejunostomy tube distally and closure of the perforation and previous FJ site</p> <p>Conclusion</p> <p>We suggest that the threshold for contrast studies and operative intervention should be low in neurologically impaired patients to avoid the delay in treatment of tube-related complications.</p> |
| first_indexed | 2024-04-13T12:18:52Z |
| format | Article |
| id | doaj.art-efd12a63574a49c499901c2eba295fd6 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-13T12:18:52Z |
| publishDate | 2008-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-efd12a63574a49c499901c2eba295fd62022-12-22T02:47:17ZengBMCJournal of Medical Case Reports1752-19472008-06-012122410.1186/1752-1947-2-224Jejunal perforation caused by a feeding jejunostomy tube: a case reportStylianides Nicholas ADate Ravindra SPursnani Kishor GWard Jeremy B<p>Abstract</p> <p>Introduction</p> <p>Percutaneous endoscopic gastrostomy and feeding jejunostomy are used for providing long-term nutritional support to patients with neurological disorders. Various mechanical complications of these procedures are described.</p> <p>Case presentation</p> <p>We report a case of a 17-year-old boy with cerebral injury who had a percutaneous endoscopic gastrostomy tube changed to a feeding jejunostomy tube. Twenty-four hours later he developed abdominal pain and became clinically septic. A contrast study through the feeding tube and a subsequent computed tomography scan did not reveal any intra-abdominal pathology. At laparotomy it was discovered that the tip of the feeding tube had perforated through the jejunal wall and was lying outside the lumen. This was successfully treated by re-inserting a feeding jejunostomy tube distally and closure of the perforation and previous FJ site</p> <p>Conclusion</p> <p>We suggest that the threshold for contrast studies and operative intervention should be low in neurologically impaired patients to avoid the delay in treatment of tube-related complications.</p>http://www.jmedicalcasereports.com/content/2/1/224 |
| spellingShingle | Stylianides Nicholas A Date Ravindra S Pursnani Kishor G Ward Jeremy B Jejunal perforation caused by a feeding jejunostomy tube: a case report Journal of Medical Case Reports |
| title | Jejunal perforation caused by a feeding jejunostomy tube: a case report |
| title_full | Jejunal perforation caused by a feeding jejunostomy tube: a case report |
| title_fullStr | Jejunal perforation caused by a feeding jejunostomy tube: a case report |
| title_full_unstemmed | Jejunal perforation caused by a feeding jejunostomy tube: a case report |
| title_short | Jejunal perforation caused by a feeding jejunostomy tube: a case report |
| title_sort | jejunal perforation caused by a feeding jejunostomy tube a case report |
| url | http://www.jmedicalcasereports.com/content/2/1/224 |
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