How to rescue a percutaneous gastrostomy tube perforating the jejunum.

ABSTRACT:

Background and aims

Percutaneous gastrostomy (PEG) tubes are widely used for long-term enteral nutrition. Major adverse events are rare but often necessitate surgical repair. We detail an endoscopic approach to repairing a PEG tube perforation involving the jejunum.

Methods

A 75-year-old man with short bowel syndrome and a recent combined intestinal-kidney transplant (duodenojejunostomy) presented with persistent abdominal pain and delirium 5 days after PEG tube placement. Computed tomography imaging showed the PEG bumper in the stomach, but the tube was perforating the overlying small bowel. Endoscopy confirmed correct bumper placement in the gastric body with tube protrusion into the jejunum.

Results

Using an upper endoscope, we introduced a snare and opened it to g

SUBMITTER: Naseem Z 

PROVIDER: S-EPMC12624228 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature