Clin Endosc.  2023 Nov;56(6):817-822. 10.5946/ce.2023.071.

Nasojejunal tube-related duodenal perforations: a multicenter experience

• Chavan R
• Gandhi C
• Rawal K
• Shah C
• Patel N
• Rajput S

• KMID: 2547905
• DOI: http://doi.org/10.5946/ce.2023.071

Figure

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  Fig. 1. Nasojejunal feeding tube (16 Fr) from Shaili endoscopy. (A) Whole tube with removal guidewire. (B) Tip of nasojejunal tube. (C) Removable guidewire.

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  Fig. 2. Detection of perforation on computed tomography scan and closure with over-the-scope clip (OTSC) in case 1. (A) Contrast-enhanced computed tomography of the abdomen showed the tube had perforated the duodenum and lying in the subhepatic area (red circle). (B) Full-thickness defect in the duodenum in D2. (C) Mild suction was applied, and the defect was pulled in cap of the OTSC device. (D) OTSC was applied, and complete closure of the defect was achieved.

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  Fig. 3. Nasojejunal tube-related duodenal perforation closure was performed with over-the-scope clip (OTSC) in case 2. (A) Tip of the tube was seen penetrating the duodenal wall. (B) After withdrawal of the tube, full-thickness defect was noticed. (C) OTSC device was taken, and the defect was sucked into the cap with mild suction. (D) Complete closure was achieved with the OTSC clip.

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  Fig. 4. Chest computed tomography showing dilated esophagus with possible site of perforation and right-sided loculated pleural effusion.

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  Fig. 5. Detection of perforation on contrast-enhanced computed tomography (CT) abdomen in case 4. (A) CT abdomen axial image showed small loculated collection around the tip at the third to fourth part of the duodenum. (B) CT abdomen axial image showed the tip of the tube penetrating the wall and lying just outside the lumen.

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