肝臓学および胃腸疾患ジャーナル
オープンアクセス

概要

Re-insertion of Gastric Feeding Tube via Previous Surgical Gastrostomy in Elderly Sick Patient with Reflux Oesophagitis Secondary to Gastrointestinal Motility Disorder: Case Report

Rauya EZ, Rutahoile WM and Zhang BQ

Background: Reflux oesophagitis is an esophageal mucosal injury that occurs secondary to retrograde flux of gastric contents into the esophagus. Here, we reported a case of re-insertion of gastric feeding tube (RIGFT) to an old man who underwent gastrostomy due to progressive Dysphagia secondary to reflux oesophagitis.

Methods: We report the case of re-insertion of gastric feeding tube in an elderly man who could not undergo PEG and open surgical gastrostomy.

Case presentation: An 85-year-old man with advanced Parkinson dementia, presented with progressive Dysphagia, fever, disorientation and recurrent aspiration pneumonia. He had a history of open abdominal surgical gastrostomy which was performed under spinal anesthesia and gastric tube was inserted successfully. Three months later the patient pulled out the tube and was referred to our teaching hospital and the next day re-insertion was performed.

Conclusion: For elderly patients who cannot undergo the percutaneous endoscopic gastrostomy and open surgical gastrostomy under general anesthesia should be recommended for re-insertion of gastric feeding tube via previous surgical orifice under local anesthesia. Therefore, percutaneous re-insertion should be considered as option to all patients who are contraindicated to surgery.