Massive reflux and aspiration after radiographically inserted gastrostomy tube placement

Sandra A. Chesoni, John Bach, Erica Mia Okamura

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Abstract

To the authors' knowledge, fatal postgastrostomy aspiration within 2 days of enteral nutrition has not been reported. The authors report consecutive cases of severe postgastrotomy aspiration with one being fatal for a 26-yr-old with Duchenne muscular dystrophy 2 days after initiation of gastrostomy feedings. Previous to these consecutive radiographically inserted gastrostomies, all gastrotomies at the institution were percutaneous endoscopic gastrostomies or open gastrostomies. Radiographically inserted gastrostomy tubes have an increased likelihood of being oriented toward the esophagus as opposed to the duodenum, which may increase the risk for reflux. Elimination of invasive airway tubes should be delayed until after gastrostomy feedings are documented to be well tolerated. Oximetry and repeated measurements of vital capacity can suggest changes in the status of airway clearance.

Original languageEnglish (US)
Pages (from-to)e6-e9
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume94
Issue number1
DOIs
StatePublished - Jan 3 2015

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All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Keywords

  • Complications
  • Duchenne Muscular Dystrophy
  • Gastrostomy
  • Neuromuscular Disease
  • Radiographically Inserted Gastrostomy

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