TY - JOUR
T1 - Retrograde jejunoduodenogastric intussusception due to a replacement percutaneous gastrostomy tube presenting as upper gastrointestinal bleeding
AU - Ibegbu, Eric
AU - Relan, Manish
AU - Vega, Kenneth J.
PY - 2007/10/21
Y1 - 2007/10/21
N2 - Percutaneous endoscopic gastrostomy (PEG) tube complications can be serious or life threatening. Retrograde intussusception is a very rare complication of PEG tubes with only 9 cases reported in the literature. We describe a case of retrograde intussusception, associated with the use of a Foley catheter as a replacement gastrostomy tube, presenting with upper gastrointestinal bleeding. To our knowledge, this is the first reported case of PEG-related retrograde intussusception successfully managed in a non-surgical manner. Retrograde intussusception likely occurred due to migration of the replacement tube with resultant securing and invagination of the proximal jejunum when the gastrostomy tube was anchored to the abdominal wall.
AB - Percutaneous endoscopic gastrostomy (PEG) tube complications can be serious or life threatening. Retrograde intussusception is a very rare complication of PEG tubes with only 9 cases reported in the literature. We describe a case of retrograde intussusception, associated with the use of a Foley catheter as a replacement gastrostomy tube, presenting with upper gastrointestinal bleeding. To our knowledge, this is the first reported case of PEG-related retrograde intussusception successfully managed in a non-surgical manner. Retrograde intussusception likely occurred due to migration of the replacement tube with resultant securing and invagination of the proximal jejunum when the gastrostomy tube was anchored to the abdominal wall.
KW - Intussusception
KW - Migration and upper gastrointestinal bleeding
KW - Percutaneous endoscopic gastrostomy
UR - http://www.scopus.com/inward/record.url?scp=34948858032&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34948858032&partnerID=8YFLogxK
U2 - 10.3748/wjg.v13.i39.5282
DO - 10.3748/wjg.v13.i39.5282
M3 - Article
C2 - 17876902
AN - SCOPUS:34948858032
SN - 1007-9327
VL - 13
SP - 5282
EP - 5284
JO - World Journal of Gastroenterology
JF - World Journal of Gastroenterology
IS - 39
ER -