Tube Migration Leading to Gastric Outlet Obstruction: An Unusual Complication of Percutaneous Endoscopic Gastrostomy

Abstract

Percutaneous endoscopic gastrostomy (PEG) placement is a well-established technique for administering long-term enteral nutrition. Gastric outlet obstruction is a rare complication of gastrostomy tube placement caused by migration of the tube into pyloric channel or duodenal bulb. A 72-year-old female presented with complaints of nausea and abdominal pain after recent PEG placement. The diagnosis of tube migration leading to gastric outlet obstruction was made after the inflated Mickey balloon was visualized obstructing the pyloric channel. The Mickey tube was carefully extracted with an endosnare. Early recognition of the tube migration leading to obstructive symptoms in a clinically appropriate scenario prevents further complications such as ulceration, necrosis and avoids surgical intervention.




J Med Cases. 2017;8(12):407-408
doi: https://doi.org/10.14740/jmc2948w