Acute pancreatitis and cholangitis: a complication caused by a migrated gastrostomy tubeOctober 25, 2007Percutaneous endoscopic gastrostomy (PEG) is generally considered to be safe with a low rate of serious complications. However, dislocation of a gastrostomy tube can lead to serious complications. The case report article describes a patient who presented to Dr. Imamura of Aichi Medical University Hospital. It was published on October 21 in the World Journal of Gastroenterology. An 86-year-old woman with gastrostomy tube feeding sometimes vomited and complained of abdominal tenderness after her family doctor replaced the tube. Imaging studies showed the tip of the gastrostomy tube with the balloon had migrated into the second portion of the duodenum. They diagnosed acute pancreatitis and cholangitis secondary to duodenal obstruction. Her family doctor might have inserted the tube too deeply. After the tube was replaced, her symptoms improved immediately.
Five cases of acute pancreatitis related to gastrostomy tube migration have been reported. Dr. Imamura experienced a very rare complication of gastrostomy tube, and this case demonstrated that a malpositioned gastrostomy tube can be an iatrogenic cause of acute pancreatitis and cholangitis. World Journal of Gastroenterology Science News and Science Current Events Tag Cloud This tag cloud is a visual representation of term frequencies of random science news topics with common terms grouped together and emphasized by their display size. Air Quality Loneliness Embryos Stroke Patients Dietary Supplements Post-traumatic Stress Disorder Alcoholism Selenium Acupuncture Logging Cavities Snowmelt Immunization Restless Legs Syndrome Predators Carbon Monoxide Biofuels Eye Movement Volcanic Eruptions Cirrhosis Food Safety Immunotherapy Lemur Kidney Transplant Premature Babies
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