J Korean Dysphagia Soc.  2019 Jan;9(1):50-53. 10.0000/jkdps.2019.9.1.50.

Duodenoduodenal Intussusception due to a Migrated Percutaneous Radiologic Gastrostomy Tube: A Case Report

• Hong JW
• Kim SH
• Yoon JA
• Shin MJ
• Shin YB

• KMID: 2437960
• DOI: http://doi.org/10.0000/jkdps.2019.9.1.50

Abstract

Patients with dysphagia often have difficulty in supplying adequate nutrition orally, and thus they often use gastrostomy for nutrition support. If the nutrition affects the deterioration of the disease, as in amyotrophic lateral sclerosis, the majority of patients will have a gastrostomy tube for proper nutrition. To prevent complications from gastrostomy tubes, it is important to educate the caregiver or patient about how to properly manage it. If these patients opt for home care because of financial or cultural reasons, it will be difficult for their healthcare team to observe them closely, leading to complications due to lax tube management. In this case, appropriate management education becomes more important. This paper reports an extremely rare case of duodenal intussusception caused by a migrated percutaneous radiologic gastrostomy (PRG) tube in a patient with amyotrophic lateral sclerosis (ALS) using simultaneous oral and enteral nutrition. The patient was treated successfully with urgent tube removal using the air reduction maneuver. This case highlights the importance of gastrostomy management.

Keyword

Dysphagia; Enteral feeding; Gastrostomy; Motor neuron disease; Intussusception

MeSH Terms

Amyotrophic Lateral Sclerosis
Caregivers
Deglutition Disorders
Education
Enteral Nutrition
Gastrostomy*
Home Care Services
Humans
Intussusception*
Motor Neuron Disease
Patient Care Team