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©2007 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Oct 21, 2007; 13(39): 5282-5284
Published online Oct 21, 2007. doi: 10.3748/wjg.v13.i39.5282
Published online Oct 21, 2007. doi: 10.3748/wjg.v13.i39.5282
Retrograde jejunoduodenogastric intussusception due to a replacement percutaneous gastrostomy tube presenting as upper gastrointestinal bleeding
Eric Ibegbu, Manish Relan, Kenneth J Vega, Divisions of Gastroenterology and General Internal Medicine, University of Florida Health Science Center/Jacksonville, Jacksonville, FL 32207, United States
Author contributions: All authors contributed equally to the work.
Correspondence to: Kenneth J Vega, MD, Division of Gastroenterology, University of Florida Health Science Center/Jacksonville, 4555 Emerson Expressway, Jacksonville, FL 32207, United States. kenneth.vega@jax.ufl.edu
Telephone: +1-904-6330089 Fax: +1-904-6330028
Received: July 13, 2007
Revised: August 16, 2007
Accepted: September 7, 2007
Published online: October 21, 2007
Revised: August 16, 2007
Accepted: September 7, 2007
Published online: October 21, 2007
Abstract
Percutaneous endoscopic gastrostomy (PEG) tube complications can be serious or life threatening. Retrograde intussusception is a very rare complication of PEG tubes with only 9 cases reported in the literature. We describe a case of retrograde intussusception, associated with the use of a Foley catheter as a replacement gastrostomy tube, presenting with upper gastrointestinal bleeding. To our knowledge, this is the first reported case of PEG-related retrograde intussusception successfully managed in a non-surgical manner. Retrograde intussusception likely occurred due to migration of the replacement tube with resultant securing and invagination of the proximal jejunum when the gastrostomy tube was anchored to the abdominal wall.
Keywords: Percutaneous endoscopic gastrostomy, Intussusception, Migration and upper gastrointestinal bleeding