Si Ru Liang, Gyanprakash Ketwaroo, Basile Njei, Amy Ogurick, Anahita Rabiee, Petr Protiva
{"title":"Unusual Complication of Percutaneous Gastrostomy Tube Replacement.","authors":"Si Ru Liang, Gyanprakash Ketwaroo, Basile Njei, Amy Ogurick, Anahita Rabiee, Petr Protiva","doi":"10.14309/crj.0000000000001834","DOIUrl":null,"url":null,"abstract":"<p><p>Percutaneous endoscopic gastrostomy tubes are commonly used for long-term nutritional support in patients with impaired swallowing due to neurological conditions, malignancy, or critical illness. Although placement, removal, and replacement are generally safe, complications may occur. We report a case of complete gastric outlet obstruction due to unusually deep percutaneous endoscopic gastrostomy tube insertion during replacement in a 63-year-old man with esophageal cancer. Symptoms resolved after repositioning the tube. This case highlights the need for proper training and postreplacement verification to ensure safe outcomes.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 9","pages":"e01834"},"PeriodicalIF":0.5000,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443151/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACG Case Reports Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14309/crj.0000000000001834","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Percutaneous endoscopic gastrostomy tubes are commonly used for long-term nutritional support in patients with impaired swallowing due to neurological conditions, malignancy, or critical illness. Although placement, removal, and replacement are generally safe, complications may occur. We report a case of complete gastric outlet obstruction due to unusually deep percutaneous endoscopic gastrostomy tube insertion during replacement in a 63-year-old man with esophageal cancer. Symptoms resolved after repositioning the tube. This case highlights the need for proper training and postreplacement verification to ensure safe outcomes.
期刊介绍:
ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.