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- W170049069 abstract "A 67-year-old male with dementia presented with a locally advanced inoperable obstructive gastric adenocarcinoma. A jejunostomy (JS) was perfomed to insert a jejunal feeding tube; however, it was pulled out one month later by the patient. In order to keep the JS tract accessible, a size 20 Fr Foley catheter was placed which included an inflatable balloon filled with 10 cc of water. Unfortunately, the Foley catheter slipped internally a few days later with no symptoms or signs of an intestinal obstruction. An abdominal radiograph showed the tip of the catheter in the right upper quadrant [Figure 1A]. There were no radiological signs of an intestinal obstruction and it was not clear if the catheter was intraluminal or if it was in the peritoneal cavity. A computed tomography (CT) scan of the patient’s abdomen confirmed its intraluminal position with the inflated catheter balloon at the ileocecal valve [Figure 1B]. Initially, the clinical team opted to keep the patient under observation for 48 hours, hoping that the catheter would pass through the ileocecal valve; however, the catheter did not pass through. A colonoscopy was performed to remove the catheter [Figures 2A & B]. Multiple attempts to puncture the catheter balloon were unsuccessful. Finally, the catheter tip was held by a snare and pulled gently through the ileocecal valve and the colon. An expandable metallic stent was inserted across the obstruction point of the gastric outlet under fluoroscopic guidance. The patient’s feeding was restarted orally and he was later discharged home with a tolerated oral diet.Figure 1 A & B:Plain radiograph of the abdomen showing (A) the Foley catheter tip in the right upper quadrant (black arrow) and (B) axial image of computed tomography scan showing Foley catheter with the inflated balloon positioned at the ileocecal valve (white arrow). ...Figure 2 A & B:The Foley catheter with the inflated balloon at the ileocecal valve during the colonoscopy (A) and after its removal from the patient (B)." @default.
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- W170049069 date "2014-08-01" @default.
- W170049069 modified "2023-09-26" @default.
- W170049069 title "Management of a migrating feeding tube." @default.
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