Removal of a self-knotted feeding jejunostomy tube in a patient with tongue base cancer

Abstract The knotting of an intragastric tube is a rare complication, and knotting of a feeding jejunostomy tube is rarer, and the removal or replacement of the tube is difficult. There are many reports on the removal of intragastric knotted tubes, but these methods cannot be applied for the removal...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2010-09, Vol.39 (9), p.922-924
Main Author: Jwo, S.-C
Format: Article
Language:English
Subjects:
Biological and medical sciences
Dentistry
Device Removal - methods
Enteral Nutrition - adverse effects
Enteral Nutrition - instrumentation
Equipment Failure
Esophageal Neoplasms - therapy
Humans
Intubation, Gastrointestinal - adverse effects
Intubation, Gastrointestinal - instrumentation
Jejunostomy - adverse effects
Jejunostomy - instrumentation
Male
Medical sciences
Middle Aged
Otorhinolaryngology. Stomatology
Stomach, duodenum, intestine, rectum, anus
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Tongue Neoplasms - therapy
Treatment Outcome
Tumors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:Abstract The knotting of an intragastric tube is a rare complication, and knotting of a feeding jejunostomy tube is rarer, and the removal or replacement of the tube is difficult. There are many reports on the removal of intragastric knotted tubes, but these methods cannot be applied for the removal of knotted feeding jejunostomy tubes, which do not have a natural orifice as large as the mouth to facilitate the introduction of instruments to correct the complication or remove the knotted tube. This is a stressful situation and doctors have to adopt strategies to resolve this problem safely and effectively in the absence of strong evidence-based knowledge. The author presents the case of a patient with tongue base cancer with a nasogastric feeding jejunostomy tube that knotted during the therapeutic course and describes a simple method to remove the knotted tube using Kelly clamps without additional invasive surgery. A literature review to elucidate methods for the removal of a self-knotted nasogastric tube, especially that occurring in feeding jejunostomy, is also reported.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2010.04.043