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CASE REPORT
Complication of dislodged gastrostomy Foley catheter: antegrade migration into small bowel
  1. Peter Cmorej,
  2. Selwan Barbat and
  3. Choichi Sugawa
  1. Department of Surgery, Wayne State University, Detroit, Michigan, USA
  1. Correspondence to Dr Choichi Sugawa, choichisugawa{at}msn.com

Abstract

A 65-year-old man with dysphagia underwent placement of a percutaneous endoscopic gastrostomy tube. He was cared for at a nursing facility where the tube became dislodged and was replaced with similar size Foley catheter. Patient was brought to the hospital with dislodged feeding Foley but none was found at the bedside. Diagnostic workup revealed antegrade migration of the catheter into the small bowel. Push enteroscopy was unsuccessful in retrieving the catheter because it was too far distal. Patient was observed for a total of 7 days. Due to lack of progress with conservative measures, a colonoscopy was performed to extract the catheter, thus avoiding the need for more invasive surgical measures. If a Foley catheter is used as a gastrostomy tube, it should be replaced with a dedicated feeding tube as quickly as possible and should always be affixed to the skin to prevent antegrade migration and associated complications.

  • parenteral / enteral feeding
  • endoscopy
  • gastrointestinal surgery
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Footnotes

  • Patient consent for publication Not required.

  • Contributors All authors were involved in the planning, conduct and reporting of the submitted work. CS would like to also recognize Dean Krystl and Abubaker Ali. While their contributions did not rise to the level of authorship, they were instrumental in the early conception phase of the submitted work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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