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Feeding tube replacement: not always that simple!

Although surgical gastrostomy is not a technically troublesome surgery, the procedure may be accompanied by unfavorable outcomes. Most complications occur early in the post-operative period and include feeding tube dislodgment, stomal infection, peritonitis, and pneumonia. The authors report the cas...

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Autores principales: Soares da Silva, Mateus Quitembo, Lederman, Alex, Coelho da Rocha, Ricardo Frank, Lourenção, Rodrigo Montenegro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: São Paulo, SP: Universidade de São Paulo, Hospital Universitário 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608172/
https://www.ncbi.nlm.nih.gov/pubmed/26484325
http://dx.doi.org/10.4322/acr.2014.050
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author Soares da Silva, Mateus Quitembo
Lederman, Alex
Coelho da Rocha, Ricardo Frank
Lourenção, Rodrigo Montenegro
author_facet Soares da Silva, Mateus Quitembo
Lederman, Alex
Coelho da Rocha, Ricardo Frank
Lourenção, Rodrigo Montenegro
author_sort Soares da Silva, Mateus Quitembo
collection PubMed
description Although surgical gastrostomy is not a technically troublesome surgery, the procedure may be accompanied by unfavorable outcomes. Most complications occur early in the post-operative period and include feeding tube dislodgment, stomal infection, peritonitis, and pneumonia. The authors report the case of an 83-year-old man who underwent a surgical gastrostomy because of a swallowing disorder after an ischemic stroke. Nine months after the procedure, the feeding tube dislodged and a new tube was inserted with a certain delay and with some difficulty, causing a false path and consequently an intrabdominal abscess after diet infusion. The outcome was fatal. The authors call attention for meticulous care with the insertion of feeding tubes and advise the performance of imaging control to assure its precise positioning.
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spelling pubmed-46081722015-10-19 Feeding tube replacement: not always that simple! Soares da Silva, Mateus Quitembo Lederman, Alex Coelho da Rocha, Ricardo Frank Lourenção, Rodrigo Montenegro Autops Case Rep Article / Clinical Case Reports Although surgical gastrostomy is not a technically troublesome surgery, the procedure may be accompanied by unfavorable outcomes. Most complications occur early in the post-operative period and include feeding tube dislodgment, stomal infection, peritonitis, and pneumonia. The authors report the case of an 83-year-old man who underwent a surgical gastrostomy because of a swallowing disorder after an ischemic stroke. Nine months after the procedure, the feeding tube dislodged and a new tube was inserted with a certain delay and with some difficulty, causing a false path and consequently an intrabdominal abscess after diet infusion. The outcome was fatal. The authors call attention for meticulous care with the insertion of feeding tubes and advise the performance of imaging control to assure its precise positioning. São Paulo, SP: Universidade de São Paulo, Hospital Universitário 2015-03-30 /pmc/articles/PMC4608172/ /pubmed/26484325 http://dx.doi.org/10.4322/acr.2014.050 Text en Autopsy and Case Reports. ISSN 2236-1960. Copyright © 2014. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed of terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium provided article is properly cited.
spellingShingle Article / Clinical Case Reports
Soares da Silva, Mateus Quitembo
Lederman, Alex
Coelho da Rocha, Ricardo Frank
Lourenção, Rodrigo Montenegro
Feeding tube replacement: not always that simple!
title Feeding tube replacement: not always that simple!
title_full Feeding tube replacement: not always that simple!
title_fullStr Feeding tube replacement: not always that simple!
title_full_unstemmed Feeding tube replacement: not always that simple!
title_short Feeding tube replacement: not always that simple!
title_sort feeding tube replacement: not always that simple!
topic Article / Clinical Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608172/
https://www.ncbi.nlm.nih.gov/pubmed/26484325
http://dx.doi.org/10.4322/acr.2014.050
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