Nota Clínica

Catheter traction and gastric outlet obstruction: a repeated complication of using a foley catheter for gastrostomy tube replacement

Jorge Fonseca, Marta Patita, Marta Patita, Rita Barosa, Carla Adriana Santos

VOLUMEN 34, NÚM. 2, marzo-abril (2017), PAG. 499-501

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Background: Percutaneous endoscopic gastrostomy (PEG) is a safe procedure and major morbidity is unusual. However, the number of PEG fed patients is increasing all over the world and complications may become more and more frequent.Case report: We describe a 73 years old woman with persistent vomit after replacement of the standard PEG tube with a Foley catheter. An upper GI endoscopy showed the catheter pulled into the duodenum causing gastric outlet obstruction. It was removed and replaced by a suitable standard PEG tube, allowing PEG feeding to be resumed.Discussion: Previous reports pointed the risk of this complication, almost always associated with insertion of a Foley-type catheter. Replacement of PEG tubes should be performed by experienced teams using standard PEG tubes and the use of Foley-type catheters for this purpose should be banned from routine practice.

Palabras Clave: Gastrostomy. Foley catheter. Enteral nutrition. Complications.

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Bibliografía

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Moragón-Ledesma, S., Gurjián-Arena, A.A., Díaz-Fontenla, F., Galeano-Valle, F., Demelo-Rodríguez, P. (2022) An unusual case of intestinal obstruction beyond the proximal ileum due to the internal bumper of a percutaneous endoscopic gastrostomy. Revista de Gastroenterología de México (English Edition)

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