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Acute pancreatitis and cholangitis: a complication caused by a migrated gastrostomy tube
October 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
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
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Acute Pancreatitis Current Events and Acute Pancreatitis News RSSGenetically engineered mice don't get obese, but do develop gallstones
Obesity and gallstones often go hand in hand. But not in mice developed at Washington University School of Medicine in St. Louis. Even when these mice eat high-fat diets, they don't get fat, but they do develop gallstones.
Should intra-abdominal pressure measurement be a routine for all pancreatitis patients?
Acute pancreatitis remains a disease with an unpredictable clinical course, and significant associated morbidity and mortality. Recently, the elevated intraabdominal pressure (IAP) after onset of acute pancreatitis has gained growing attention, because it is increasingly recognized as an important risk factor for mortality in the early phase of the disease.
Arterial infusion using gabexate mesilate: Is it effective therapy for severe acute pancreatitis?
Severe acute pancreatitis (SAP) remains a lethal disease. It is defined as an inflammatory process of the pancreas with possible peripancreatic tissue and multi-organ involvement inducing multi-organ dysfunction syndrome (MODS) with an increased mortality rate.
Arterial infusion using gabexate mesilate: Is it effective therapy for severe acute pancreatitis?
Severe acute pancreatitis (SAP) remains a lethal disease. It is defined as an inflammatory process of the pancreas with possible peripancreatic tissue and multi-organ involvement inducing multi-organ dysfunction syndrome (MODS) with an increased mortality rate.
UIC researchers hunting drugs for devastating parasitic disease
Hundreds of millions of people, mainly in developing countries, are disabled by infectious diseases, according to the World Health Organization.
Why could ethyl pyruvate attenuate severe acute pancreatitis?
Excessive activation of inflammatory mediator cascade during SAP is a major cause of distant organ injury and the high mortality.
Early surgical treatment contributes to better outcomes in gallstone pancreatitis cases
Although delaying surgical treatment remains the standard of care for patients with severe gallstone pancreatitis, a new study published in the December issue of the Journal of the American College of Surgeons shows that, contrary to widespread belief, early cholecystectomy -- or surgical removal of the gallbladder -- significantly reduces hospital stays in patients with mild to moderate gallstone pancreatitis with no increase in complications or mortality.
Large dose dexamethasone plays important roles in severe acute pancreatitis
Severe acute pancreatitis (SAP) is a fatal systemic disease featuring acute onset, serious conditions, high incidence of complications and 20 - 30% mortality, mainly due to multiple organ failure at its early stage.
Short-term hemofiltration is cost-effective for severe acute pancreatitis
Early nasogastric enteral nutrition is a breakthrough in the management of severe acute pancreatitis. From meta-analysis based on current available clinical studies early nasogastric enteral nutrition appeared effective and safe in clinical practice.
Method shows promise for early detection of pancreatic cancer
Optical technology developed by a Northwestern University biomedical engineer shown to be effective in the early detection of colon cancer now appears promising for detecting pancreatic cancer, the fourth most common cause of cancer deaths in the United States.
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