Retrograde jejunoduodenogastric intussusception due to a replacement percutaneous gastrostomy tube presenting as upper gastrointestinal bleeding

Eric Ibegbu, Manish Relan, Kenneth J. Vega

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)5282-5284
Number of pages3
JournalWorld Journal of Gastroenterology
Volume13
Issue number39
DOIs
StatePublished - Oct 21 2007

Keywords

  • Intussusception
  • Migration and upper gastrointestinal bleeding
  • Percutaneous endoscopic gastrostomy

ASJC Scopus subject areas

  • Gastroenterology

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