Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Migrazione della sonda gastrostomica come possibile causa di pancreatite

Gastrostomy tube migration as possible cause of pancreatitis

Martina Fornaro1, Veronica Lunedei2, Enrico Valletta1
1UO di Pediatria, 2UO di Gastroenterologia ed Endoscopia Digestiva, Ospedale G.B. Morgagni - L. Pierantoni, AUSL della Romagna, Forlì

Ottobre 2015

Abstract
Gastrostomy tube dislodgement is a well known complication in patients with percutaneous endoscopic gastrostomy (PEG). Tube migration into the duodenum was less frequently reported. When the migrated tube has an inflatable internal balloon, as in replaced PEG-tubes or in Foley catheters, the balloon may obstacle gastric emptying and disturb biliary and pancreatic juice flow at the level of the ampulla of Vater. The paper describes the case of a child with cerebral palsy whose balloon PEG-tube repeatedly migrated into the duodenum causing a mild pancreatic disease with increased amylase and lipase blood levels. Moreover, the few cases of pancreatitis due to migration of a gastrostomy tube reported in the literature are briefly reviewed.
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Parole chiave
Complication Gastrostomy Migration Pancreatitis PEG
Suggerite dall'AI
Pancreatite
Bibliografia
Bibliografia
  1. Fröhlich T, Richter M, Carbon R, Barth B, Köhler. Review article: percutaneous endoscopic gastrostomy in infants and children. Aliment Pharmacol Ther 2010;31:788-801.
  2. Fortunato JE, Cuffari C. Outcomes of percutaneous endoscopic gastrostomy in children. Curr Gastroenterol Rep 2011;13:293-9.
  3. Bui HD, Dang CV. Acute pancreatitis: a complication of Foley catheter gastrostomy. J Natl Med Assoc 1986;78:779-81.
  4. Panicek DM, Ewing DK, Gottlieb RH, Chew FS. Gastrostomy tube pancreatitis. Pediatr Radiol 1988;18:416-7.
  5. Barthel JS, Mangum D. Recurrent acute pancreatitis in pancreas divisum secondary to minor papilla obstruction from a gastrostomy feeding tube. Gastrointest Endosc 1991;37:638-40.
  6. Duerksen DR. Acute pancreatitis caused by a prolapsing gastrostomy tube. Gastrointest En-dosc 2001;54:792-3.
  7. Miele VJ, Nigam A. Obstructive jaundice and pancreatitis secondary to percutaneous endo-scopic gastrostomy tube migration. J Gastroenterol Hepatol 2005;20:1802-3.
  8. Periselneris J, England R, Hull M. Balloon gastrostomy migration leading to acute pancreati-tis. Gut 2006;55:1673-4.
  9. Imamura H, Konagaya T, Hashimoto T, Kasugai K. Acute pancreatitis and cholangitis: a complication caused by a migrated gastrostomy tube. World J Gastroenterol 2007;13:5285-7.
  10. Bhat M, Bridges E. Acute obstructive pancreatitis caused by a migrated balloon gastrostomy tube. CMAJ 2011;183:E759.
  11. Shah AM, Shah N, De Pasquale JR. Replacement gastrostomy tube causing acute pancreatitis: case series with review of literature. JOP 2012;13(1):54-7.
  12. Brauner E, Kluger Y. Gastrostomy tube dislodgement acute pancreatitis. World J Emerg Surg 2014;9(1):23.