Case Report
Spinal Cord advance online publication 30 June 2009; doi: 10.1038/sc.2009.66
Percutaneous enterogastric tube dislodgement in tetraplegics
1Spinal Cord Injury Service, VA Boston Health Care System, West Roxbury, MA, USA
Correspondence: Dr MJ Hess, Spinal Cord Injury Service, VA Boston Health Care, 1400 VFW Parkway, West Roxbury, MA 02132, USA. E-mail: marika.hess@va.gov
Received 16 January 2009; Revised 9 April 2009; Accepted 3 May 2009; Published online 30 June 2009.
Abstract
Study design:
Case reports describing abdominal complications following percutaneous enteral gastric (PEG) tube placement in three tetraplegics.
Objectives:
The aim was to increase provider awareness of PEG tube dislodgement as a complication in tetraplegics.
Setting:
Spinal cord injury center, Veteran's Administration hospital.
Methods:
The charts of three spinal cord injured veterans with tetraplegia were reviewed for clinical presentation and radiographic findings supporting the diagnosis of acute abdominal complications following PEG tube dislodgement.
Results:
PEG tube dislodgement in tetraplegics can present with occult findings and lead to disastrous outcomes if the diagnosis is delayed.
Conclusion:
PEG tube dislodgement should be considered in tetraplegics who develop even subtle abdominal complaints, especially if the injury is complete. Further assessment with computed tomography (CT) scans or fistulograms should be considered to help with decision making.
Keywords:
enteral feeding, spinal cord injury, acute abdomen, treatment complications
