Abstract
Acute pancreatitis can be caused by inadvertent migration into the duodenum of the inflated balloon of a Foley gastrostomy catheter. The clinical picture is that of an acute abdomen. The diagnosis is made with a high index of suspicion and confirmed by marked elevation of serum and urine amylase levels. The treatment consists of repositioning of the gastrostomy tube and supportive therapy. Careful external fixation of the tube to the abdominal wall can prevent this complication.
Full text
PDF


Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- CONNAR R. G., SEALY W. C. Gastrostomy and its complications. Ann Surg. 1956 Feb;143(2):245–250. doi: 10.1097/00000658-195602000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Campbell J. R., Sasaki T. M. Gastrostomy in infants and children: An analysis of complications and techniques. Am Surg. 1974 Sep;40(9):505–508. [PubMed] [Google Scholar]
- Currarino G., Votteler T. Prolapse of the gastrostomy catheter in children. Am J Roentgenol Radium Ther Nucl Med. 1975 Apr;123(4):737–741. doi: 10.2214/ajr.123.4.737. [DOI] [PubMed] [Google Scholar]
- FARRIS J. M., SMITH G. K. An evaluation of temporary gastrostomy; a substitute for nasogastric suction. Ann Surg. 1956 Sep;144(3):475–486. doi: 10.1097/00000658-195609000-00017. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fonkalsrud E. W. Intestinal obstruction from gastrostomy tube in infants. J Pediatr. 1966 Nov;69(5):809–811. doi: 10.1016/s0022-3476(66)80130-0. [DOI] [PubMed] [Google Scholar]
- Gallagher M. W., Tyson K. R., Ashcraft K. W. Gastrostomy in pediatric patients: an analysis of complications and techniques. Surgery. 1973 Oct;74(4):536–539. [PubMed] [Google Scholar]
- Goodman L. R., Wittenberg J., Messer R. Duodenal obstruction--an unusual complication of a gastrostomy feeding catheter. Br J Radiol. 1971 Nov;44(527):883–884. doi: 10.1259/0007-1285-44-527-883. [DOI] [PubMed] [Google Scholar]
- Gustavsson S., Klingen G. Obstructive jaundice--complication of Foley catheter gastrostomy. Case report. Acta Chir Scand. 1978;144(5):325–327. [PubMed] [Google Scholar]
- HOLDER T. M., GROSS R. E. Temporary gastrostomy in pediatric surgery. Experience with 187 cases. Pediatrics. 1960 Jul;26:36–41. [PubMed] [Google Scholar]
- Haws E. B., Sieber W. K., Kiesewetter W. B. Complications of tube gastrostomy in infants and children. 15-year review of 240 cases. Ann Surg. 1966 Aug;164(2):284–290. doi: 10.1097/00000658-196608000-00015. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hopens T., Schwesinger W. H. Complications of tube gastrostomy: radiologic manifestations. South Med J. 1983 Jan;76(1):9–11. doi: 10.1097/00007611-198301000-00004. [DOI] [PubMed] [Google Scholar]
- KING T. C., RAMOS A. G., ZIMMERMAN J. M. THE FEEDING GASTROSTOMY: FRIEND OR FOE. Am J Surg. 1965 Apr;109:450–452. doi: 10.1016/s0002-9610(65)80173-8. [DOI] [PubMed] [Google Scholar]
- Osborne R. O., Toffler R. B. Gastrostomy tube prolapse. Am J Gastroenterol. 1973 Dec;60(6):602–606. [PubMed] [Google Scholar]
- Raventos J. M., Kralemann H., Gray D. B. Mortality risks of mentally retarded and mentally ill patients after a feeding gastrostomy. Am J Ment Defic. 1982 Mar;86(5):439–444. [PubMed] [Google Scholar]
- Sherman M. L., Cosgrove M. J., Dennis J. M. Gastrostomy tube migration. Am Surg. 1973 Feb;39(2):122–123. [PubMed] [Google Scholar]
- Swartzendruber F. D., Laws H. L. The superior feeding gastrostomy. Am Surg. 1982 Jun;48(6):276–278. [PubMed] [Google Scholar]
- Vade A., Jafri S. Z., Agha F. P., Vidyasagar M. S., Coran A. G. Radiologic evaluation of gastrostomy complications. AJR Am J Roentgenol. 1983 Aug;141(2):325–330. doi: 10.2214/ajr.141.2.325. [DOI] [PubMed] [Google Scholar]
- Vazquez R. M., Goldin M., Economou S. G. Gastric obstruction from gastrostomy tube. IMJ Ill Med J. 1970 Apr;137(4):357–359. [PubMed] [Google Scholar]


