Gastrostomy tube malposition during tube replacement

Abstract

A 60-year-old man presented to the emergency department with diffuse abdominal pain hours after blind replacement of the gastrostomy tube, which had been inadvertently removed a day earlier. He had a history of motor neuron disease and a 24F PEG tube (Cook, Winston-Salem, NC, USA) placed 7 months previously (A). Initial examination revealed a narrowing lumen in the gastrostomy tract, which could accommodate only a 14F Foley catheter. A Kelly clamp was used to dilate the tract, and a 24F balloon replacement gastrostomy tube was placed (Cook).