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Nutrition in Clinical Practice
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A Case of Retrograde Jejunoduodenal Intussusception Caused by a Feeding Gastrostomy Tube

Donato Ciaccia, MD

Department of Medicine Duke University Medical Center Durham, North Carolina

Robert L. Quigley, MD, PHD

Surgery, Duke University Medical Center, Durham, North Carolina

Paul J. Shami, MD

Department of Medicine Duke University Medical Center Durham, North Carolina

John P. Grant, MD

Surgery, Duke University Medical Center, Durham, North Carolina

A case is presented of migration of a gastrostomy feeding tube (Foley type) through the pylorus with duodenal obstruction and subsequent retrograde intussusception. Although feeding tube migration is not uncommon, retrograde intussusception of the jejunum into the duodenum is rare. In this case, surgery was required with resection of a segment of necrotic bowel. Recommendations are given for treatment of this unusual complication with emphasis on its avoidance through use of a retaining bar or disc at the tube's skin exit site.

Nutrition in Clinical Practice, Vol. 9, No. 1, 18-21 (1994)
DOI: 10.1177/011542659400900118
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G. M. Tibbitts and R. J. Sorrell
Duodenal Obstruction from a Gastric Feeding Tube
N. Engl. J. Med., March 25, 1999; 340(12): 970 - 971.
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