Comparison of Foley catheter as a replacement gastrostomy tube with commercial replacement gastrostomy tube: a prospective randomized trial

Kadakia, Shailesh C.; Cassaday, Michael; Shaffer, Richard T.

doi:10.1016/s0016-5107(94)70165-2

Cited by 31 publications

(14 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…4 Since gastrostomy tubes are expensive, their replacement by a Foley catheter when expelled or malfunctioning has become prevalent. 5 We found no relevant statistics, but a current review of published literature (PubMed since inception, using "foley catheter" AND gastrostomy) revealed 38 publications in the English language which indicate that Foley catheters were being used worldwide as temporary gastrostomy tubes and that their use for prolonged periods (median 15 months) was acceptable and cost-effective. 6 Short-term trials of Foley catheters have yielded safety data comparable to commercial gastrostomy tubes 5 , but our patient case is a reminder of the ease of a catheter being "swallowed" unless properly cared for and fixated, and the need for emergency physicians to be aware of these potential complications which may not be apparent on presentation and to also consider "wandering" tube in the differential diagnosis of obstruction or ileus in the elderly.…”

Section: Discussionmentioning

confidence: 88%

A wandering tube

Dubin

Gelber

Schattner

2016

CJEM

View full text Add to dashboard Cite

The predominant causes of acute mechanical small bowel obstruction in geriatric patients are adhesions and hernias, which is not much different than in other adult age groups. Unusual etiologies may be encountered, such as volvulus or gallstone ileus, but a displaced feeding gastrostomy tube is a distinctly rare cause of intestinal obstruction which needs to be considered by emergency physicians as it may be increasingly encountered.

show abstract

Section: Discussionmentioning

confidence: 88%

A wandering tube

Dubin

Gelber

Schattner

2016

CJEM

View full text Add to dashboard Cite

show abstract

“…Other methods to save costs may include use of a Foley catheter as a PEG replacement tube. 1 Ideally, gastrostomy tube replacement should be done as soon as possible after accidental dislodgement, in order to avoid spontaneous closure of its track.…”

Section: Discussionmentioning

confidence: 99%

Gastrostomy tube replacement by endoscopic cannulation of a narrowed previous tube site

Sharma

Lamoria

et al. 2016

Trop Doct

View full text Add to dashboard Cite

Percutaneous endoscopic gastrostomy is warranted when oral feeding is not feasible. Indications include central nervous system disorders, head trauma and occasionally malignancies of upper gastrointestinal tract. If tube replacement after accidental dislodgement is delayed, the track may become narrowed. This may compromise routine replacement and may require repeated procedures. Occasionally no further external dilation is possible. We describe the endoscopic cannulation of the previously used track after its internal cannulation and subsequent external dilation and the successful replacement of a gastrostomy tube.

show abstract

“…11 Direct suturing of the catheter to the skin, a technique we have used in our patient, or placing an external retention disk and a retention ring over the catheter may prevent its distal migration. 12 However, any kind of long-standing feeding tube that is placed either surgically or endoscopically can migrate, and so as the placement of such tubes becomes more common, an awareness of this complication and its successful management has thus become increasingly important. Family members, nursing home personnel, or other health care providers who care for patients with jejunostomies for long-term enteral nutrition, must be instructed in detecting a loosening of tube fixation or tube displacement among other complications.…”

Section: Discussionmentioning

confidence: 99%

Enteral Migration of a Pezzer Tube After a Feeding Jejunostomy: Report of a Case

et al. 2003

View full text Add to dashboard Cite

We herein report a rare complication of the migration of a feeding jejunostomy tube through the entire intestine. A surgical Stamm jejunostomy was performed in a patient with an unresectable gastric cancer using a 28-F silicone catheter with a mushroom tip (Pezzer catheter). The catheter was suture-fixed to the skin, family members were given instructions regarding tube feeding and tube care, and the patient was discharged to home care. Two months later, he presented because of the "disappearance" of the tube. A clinical examination revealed a mature jejunostomy tract, skin erosion at the site where the suture was placed, and absence of the tube. There were no signs of intestinal obstruction or peritonitis. Abdominal X-ray examination showed the catheter inside the jejunum. The patient was treated conservatively with serial radiographs showing rapid tube migration through the intestine, and the tube was eliminated spontaneously 5 days later. An awareness of this complication and its appropriate treatment is important given the widespread use of enteral nutrition.

show abstract

Comparison of Foley catheter as a replacement gastrostomy tube with commercial replacement gastrostomy tube: a prospective randomized trial

Cited by 31 publications

References 19 publications

A wandering tube

A wandering tube

Gastrostomy tube replacement by endoscopic cannulation of a narrowed previous tube site

Enteral Migration of a Pezzer Tube After a Feeding Jejunostomy: Report of a Case

Contact Info

Product

Resources

About