scholarly journals Gastrostomy tube migration causing gastric outlet obstruction and gastric perforation in children—two case reports

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Carol Wing Yan Wong ◽  
Patrick Ho Yu Chung
Keyword(s):  
Gastric Outlet Obstruction ◽  
Gastric Perforation ◽  
Case Reports ◽  
Outlet Obstruction ◽  
Gastrostomy Tube ◽  
Tube Migration

scholarly journals 1864 Gastric Outlet Obstruction as a Complication of Replaced Gastrostomy Tube

2019 ◽  
Vol 114 (1) ◽  
pp. S1043-S1044
Author(s):  
Trent Walradt ◽  
Tracey Martin ◽  
AnnMarie Kieber-Emmons ◽  
David Wan
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Gastrostomy Tube

Inguinoscrotal hernias containing stomach: risk of emergency presentation

2021 ◽  
Author(s):  
J Heylen ◽  
D Campioni-Norman ◽  
D Lowcock ◽  
L Varatharajan ◽  
M Kostalas ◽  
...  
Keyword(s):  
Gastric Perforation ◽  
Case Reports ◽  
Outlet Obstruction ◽  
Abdominal Wall Hernia ◽  
Publication Date ◽  
Midline Laparotomy ◽  
Patient Demographics ◽  
Emergency Presentation ◽  
Acute Nature ◽  
Perforation Group

Introduction Inguinoscrotal hernias are the commonest form of abdominal wall hernia, but for them to contain stomach is extremely rare. The management of these hernias can be very challenging owing to their acute nature of presentation and distortion of anatomy. Our aim was to systematically review the literature for all reported cases of inguinoscrotal hernias containing stomach. In turn we analysed patient demographics, site of hernia, presentation and treatment. Outcomes were reviewed where available. Method We conducted a systematic search of the PUBMED, Embase and Medline databases with a combination of keywords: Hernia AND (inguin* OR scrot*) AND (gastric OR gastro*). An author's own case has also been included. Results There were 20 case reports included in the review, plus the author’s own case. They ranged in publication date from 1942 to 2020. Mean age at presentation was 71 years (range 49 to 87). All cases were male. In total, 62% (n = 13) of cases presented with combined symptoms of abdominal pain and vomiting, 48% (n = 10) presented with gastric outlet obstruction (GOO) and 48% (n = 10) presented with gastric perforation. All successfully treated cases with gastric perforation required a midline laparotomy approach, whereas 56% (n = 5) of patients in the GOO group were successfully treated conservatively. There were three deaths reported in this review, all in the gastric perforation group. Conclusion Stomach as a content of inguinoscrotal hernias is extremely rare. These hernias predominantly present acutely in the form of GOO or gastric perforation. All patients with gastric perforation will require a midline laparotomy. Patients with GOO can be successfully managed either surgically or in selective cases with conservative management.

scholarly journals Gastric perforation due to fish bone ingestion presenting as gastric outlet obstruction: a case report

2018 ◽  
Vol 5 (12) ◽  
pp. 4081 ◽  
Author(s):  
Rakesh Sharma ◽  
Biren P. Padhy ◽  
Supreet Kumar ◽  
Meka Hareesh ◽  
G. Lakshmi Suchithra
Keyword(s):  
Gastric Outlet Obstruction ◽  
Distal Part ◽  
Gastric Perforation ◽  
Outlet Obstruction ◽  
Posterior Wall ◽  
Fish Bone ◽  
Benign Condition ◽  
Colon And Rectum ◽  
Proper Diagnosis ◽  
High Level

Foreign body ingestion is mostly an accidental incident and usually seen in children than in adults. In adults fish bone ingestion is a common occurrence which is generally asymptomatic and passes through gut without any complications. Ingestion of fish bone leading to gut perforations has been reported and includes distal part of the gastrointestinal tract involving ileum, colon and rectum. Gastric perforation is quiet rare due to its thick muscular wall. Here we present a case of a 65 year old female who presented to our hospital with complains of pain abdomen, vomiting and epigastric lump. On thorough investigation a perforation in the posterior wall of stomach was found along with a fish bone inside an inflammatory lump near the pylorus in the lesser sac, with features of gastric outlet obstruction. Initial conservative management resolved the inflammatory lump and then diagnostic laparoscopy followed by open surgery was performed to retrieve the fish bone. Both open and laparoscopic methods have been successful in retrieving these foreign bodies. Careful investigations and high level of suspicion is required for proper diagnosis and treatment for this benign condition.

scholarly journals Gastric Outlet Obstruction Due to Malposition of Replacement Gastrostomy Tube

2019 ◽  
Vol 3 (4) ◽  
pp. 442-443
Author(s):  
Brent Becker ◽  
Travis Walker
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Small Bowel ◽  
Gastric Outlet Obstruction ◽  
Epigastric Pain ◽  
Outlet Obstruction ◽  
Gastrostomy Tube ◽  
Abdominal Radiography ◽  
Radiographic Findings ◽  
Proximal Small Bowel

A 78-year old male presented to the emergency department after accidental dislodgement of his chronic gastrostomy tube. A replacement gastrostomy tube was passed easily through the existing stoma and flushed without difficulty. Confirmatory abdominal radiography demonstrated contrast in the proximal small bowel, but the patient subsequently developed epigastric pain and refractory vomiting. Computed tomography revealed the tip of the gastrostomy tube terminating in the pylorus or proximal duodenum. This case highlights gastric outlet obstruction complicating the replacement of a gastrostomy tube and the associated radiographic findings.

Surgical Complications in Patients Treated with Chemotherapy for Gastric Diffuse Large B Cell Lymphoma.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 4732-4732
Author(s):  
Galia Spectre ◽  
Diana Libster ◽  
Sigal Grisariu ◽  
Nael Da’as ◽  
Zvi Gimmon ◽  
...  
Keyword(s):  
B Cell ◽  
Gastric Outlet Obstruction ◽  
Surgical Complications ◽  
Cell Lymphoma ◽  
Gastric Perforation ◽  
Gastric Lymphoma ◽  
Outlet Obstruction ◽  
B Cell Lymphoma ◽  
Large B Cell Lymphoma ◽  
Large B Cell

Abstract The management of patients with gastric lymphoma has undergone significant changes in the past few years, with a shift towards non-surgical treatment. However, surgical complications still occur in patients receiving chemotherapy. The rate of these complications is unknown. Our aim was to assess the frequency of bleeding, perforation and gastric outlet obstruction in patients with gastric diffuse large B cell lymphoma who received chemotherapy as a primary treatment for their disease. In this study we retrospectively reviewed files of patients with gastric diffuse large B cell lymphoma, who were diagnosed and treated in our medical center between 1990 and 2005. Results: 88 patients were diagnosed with gastric diffuse large B cell lymphoma of whom 73 were initially treated with chemotherapy, mainly CHOP or similar regimens. The remaining 15 patients were treated with gastrectomy, irradiation, or died before treatment could be initiated. 69 patients had primary lymphoma of the stomach, 4 had gastric involvement at relapse, one had transformed follicular lymphoma and one had post transplant lymphoma. 18 of 73 (25%) patients experienced surgical complications during the course of their treatment. Seven patients had gastric bleeding, of whom 3 were treated conservatively, one underwent angiography with embolization, one had a gastrectomy, and in two patients treatment was stopped due to bleeding and poor performance status. Nine patients had gastric outlet obstruction, of whom 3 were treated conservatively, 4 required surgery, 1 had repeated endoscopic pneumatic dilatations, and one stopped treatment. Seven of 9 patients had no evidence of active lymphoma at the time of gastric outlet obstruction. Two additional patients underwent gastrectomy, 1 due to resistant disease and 1 for relapsed disease. Gastric perforation was not observed. Overall 6 of 73 (8%) of patients eventually required gastric surgery; 3 are alive and free of disease, one died from lymphoma and two died from other causes. We conclude that there is a substantial rate of surgical complications in patients with gastric diffuse large B cell lymphoma receiving chemotherapy and thus, there is still a major role for the surgical consultant in the treatment of these patients. Gastric perforation is a rare complication.

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