Retrograde jejunoduodenogastric intussusception due to a replacement percutaneous gastrostomy tube presenting as upper gastrointestinal bleeding  

作　　者：Eric Ibegbu Manish Relan Kenneth J Vega 

机构地区：[1]Divisions of Gastroenterology and General Internal Medicine, University of Florida Health Science Center/Jacksonville, Jacksonville, FL32207, United States

出　　处：《World Journal of Gastroenterology》2007年第39期5282-5284,共3页世界胃肠病学杂志（英文版）

摘　　要：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.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.

关 键 词：Percutaneous endoscopic gastrostomy INTUSSUSCEPTION Migration and upper gastrointestinal bleeding 

分 类 号：R573.2[医药卫生—消化系统]