ASGE DDW Videos from Around the World | 2025-HOW TO RESCUE A PERCUTANEOUS GASTROSTOMY TUBE PERFORATING THE JEJUNUM

HOW TO RESCUE A PERCUTANEOUS GASTROSTOMY TUBE PERFORATING THE JEJUNUM

Video Transcription

Video Summary

A 75-year-old male with complex medical history underwent PEG tube placement for nutritional support. Shortly after, complications arose due to the tube perforating the jejunum, likely caused by his altered gastrointestinal anatomy. An endoscopic procedure removed the PEG and identified the perforation. A lumen opposing metal stent closed the jejunal fistula, followed by successful deployment of a direct jejunostomy for feeding. This case underscores the value of non-surgical, endoscopic solutions to manage tube-related complications, especially in patients with altered anatomy, emphasizing early imaging and intervention to avoid surgical procedures. The patient recovered without immediate complications and resumed tube feeding.

Asset Subtitle

Zehra Naseem, Aun Muhammad, Roberto Simons-Linares, Hassan Siddiki

Keywords

PEG tube complications

endoscopic intervention

jejunal perforation

lumen opposing stent

direct jejunostomy