Luis F Zorrilla-Nunez, MD, Raul Rosenthal, MD, Matthew Lange, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic Florida
This is a 65 year old male with past medical history significant for Parkinson’s disease who had previously undergone an endoscopically placed percutaneous gastrojejunosotmy (GJ) tube (Abbie systemT ) about one year ago for administration of his Parkinson’s medication. He presented to us with complaints of vague abdominal pain as well as an increased white blood cell count, on CT scan it showed evidence of migration of the gastrostomy portion of the GJ tube without any evidence of obvious obstruction. We proceeded with diagnostic laparoscopy and retrieval of migrated GJ tube and placement of a new jejunosotmy tube to allow for administration of his Parkinson’s medication. This video demonstrates the safety and feasibility of laparoscopically retrieving a migrated GJ tube and replacing it with a jejunostomy tube to allow continue administration of specific medications.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87382
Program Number: V189
Presentation Session: Wednesday Video Loop (Non CME)
Presentation Type: VideoLoop