Neonatal Obstructive Jaundice Caused by a Malpositioned Gastrostomy Tube

Abstract

Sebastian MV, Coley BD(AQ1) irst successfully performed more than 120 years ago by Verneuil [1], gastrostomy tube placement in the pediatric population is now common, performed most often for intestinal atresias, neurologic and swallowing disorders, and other conditions in which nutritional support is needed. As the procedure has become more common in the last 40 years, many types of complications have been documented, including tube obstruction and dislodgement, malpositioning of replaced tubes, stomal leak, and tube migration and prolapse with or without gastric outlet obstruction and intussusception [1–3]. A rare complication is obstructive jaundice caused by migration of balloon catheters into the duodenum [4–7]. We present such a case in a neonate. Case Report A 36-week-old preterm boy with a history of polyhydramnios was diagnosed with upper esophageal atresia with distal tracheoesophageal fistula. Fistula ligation was performed on day-oflife 1, but primary esophageal reanastomosis could not be performed. For enteric feeding, a surgical Stamm gastrostomy was performed and a 12-French self-retaining Malecot tip gastros-