Re-insertion of Gastric Feeding Tube via Previous Surgical Gastrostomy in Elderly Sick Patient with Reflux Oesophagitis Secondary to Gastrointestinal Motility Disorder: Case ReportRauya EZ*, Rutahoile WM and Zhang BQ
Department of Gastroenterology, the First Affiliated Hospital of Chongqing Medical University, PR China
- *Corresponding Author:
- Rauya EZ
Department of Gastroenterology, Chongqing Medical University First Affiliated Hospital
Yuzhong District Chongqing, 400016, PR China
E-mail: [email protected]
Received date: April 27, 2017; Accepted date: May 11, 2017; Published date: May 15, 2017
Citation: Rauya EZ, Rutahoile WM, Zhang BQ (2017) Re-insertion of Gastric Feeding Tube via Previous Surgical Gastrostomy in Elderly Sick Patient with Reflux Oesophagitis Secondary to Gastrointestinal Motility Disorder: Case Report. J Hepatol Gastroint Dis 3:148. doi: 10.4172/2475-3181.1000148
Copyright: © 2017 Rauya EZ, et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Background: Reflux oesophagitis is an esophageal mucosal injury that occurs secondary to retrograde flux of gastric contents into the esophagus. Here, we reported a case of re-insertion of gastric feeding tube (RIGFT) to an old man who underwent gastrostomy due to progressive Dysphagia secondary to reflux oesophagitis.
Methods: We report the case of re-insertion of gastric feeding tube in an elderly man who could not undergo PEG and open surgical gastrostomy.
Case presentation: An 85-year-old man with advanced Parkinson dementia, presented with progressive Dysphagia, fever, disorientation and recurrent aspiration pneumonia. He had a history of open abdominal surgical gastrostomy which was performed under spinal anesthesia and gastric tube was inserted successfully. Three months later the patient pulled out the tube and was referred to our teaching hospital and the next day re-insertion was performed.
Conclusion: For elderly patients who cannot undergo the percutaneous endoscopic gastrostomy and open surgical gastrostomy under general anesthesia should be recommended for re-insertion of gastric feeding tube via previous surgical orifice under local anesthesia. Therefore, percutaneous re-insertion should be considered as option to all patients who are contraindicated to surgery.