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TL;DR
This letter describes two human cases of novel complications following balloon-type PEG tube exchange.
Porto Biomedical Journal · 1 author, 2 centres
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This letter describes two human cases of novel complications following balloon-type PEG tube exchange.
This letter describes two human cases of novel complications following balloon-type PEG tube exchange. The first patient, a frail male with dysphagia, developed transpyloric misplacement of the G-tube likely from inadvertent guidewire insertion, causing abdominal pain. The second patient, with head and neck cancer, presented with high-grade abdominal pain after tube reinsertion, and imaging suggested intramural dislocation, confirmed endoscopically as a subepithelial lesion that collapsed after balloon deflation. The tube was repositioned correctly under endoscopic vision. The report highlights these as previously unreported complications and emphasizes the importance of strict adherence to tube exchange protocols and proper tube care to prevent such events.