Landau Andrew J, Martino Brendan R, Neubert Zachary
Internal Medicine, Tripler Army Medical Center, Honolulu, USA.
Gastroenterology, Halifax Medical Center, Daytona Beach, USA.
Cureus. 2025 Feb 6;17(2):e78659. doi: 10.7759/cureus.78659. eCollection 2025 Feb.
Complications of gastrostomy tube placement and enteral feeding are common. However, most are minor and without serious adverse effects, such as superficial skin infections, peristomal leakage, tube dislodgement, and minor bleeding. Misplacement of a gastrostomy tube through the anterior and posterior gastric walls is a rare but serious complication. If not detected and corrected, it could have serious and potentially life-threatening consequences for the patient. We present a case of a 78-year-old male with acute stroke and resultant severe oropharyngeal dysphagia requiring long-term enteric feeding tube placement complicated by a malpositioned gastrostomy tube that was placed through both the anterior and posterior walls of the stomach during a laparoscopic procedure, resulting in coffee-ground hematemesis on the first postoperative day. Investigation revealed the malpositioned tube, which was surgically repaired on time without significant morbidity.
胃造口管置入和肠内喂养的并发症很常见。然而，大多数并发症都很轻微，没有严重的不良影响，如浅表皮肤感染、造口周围渗漏、管道移位和少量出血。胃造口管经胃前壁和后壁误置是一种罕见但严重的并发症。如果未被发现并纠正，可能会给患者带来严重且可能危及生命的后果。我们报告一例78岁男性急性卒中患者，因严重口咽吞咽困难需要长期放置肠内喂养管，在腹腔镜手术期间胃造口管经胃前壁和后壁误置，术后第一天出现咖啡渣样呕血。检查发现了误置的管道，及时进行了手术修复，未出现明显的并发症。
