Percutaneous endoscopic gastrostomy tube migration as a cause of small bowel obstruction

2014 ◽  
Vol 4 (2) ◽  
pp. 53 ◽  
Author(s):  
Peter P Stanich ◽  
2015 ◽  
Vol 97 (5) ◽  
pp. e79-e80 ◽  
Author(s):  
J Roos

A case of small-bowel obstruction after insertion of a percutaneous endoscopic gastrostomy (PEG) tube is described. At laparotomy, the PEG tube was found to have penetrated the jejunal mesentery at two points, thereby acting as a focus for a volvulus. Direct injury and obstruction to the small bowel have been described but volvulus due to mesenteric penetration has not.


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