From the stomach to colon: endoscopic management of a PEG-J tube cecal dislocation

Abstract Text We report a case of J-tube dislocation to the ileocecal valve in a 73-year-old woman with a history of PEG-J placement for continuous infusion of levodopa/carbidopa in severe Parkinson's disease. In our patient, J-tube removal was necessary due to altered duodopa delivery and jejunal loop inflammation causing abdominal pain, both resulting from the tube's dislocation. An initial EGD showed the correct connection between the PEG bumper and the J-tube at the anterior gastric wall. However, the distal extremity of the jejunostomy tube was not visualized, and the jejunal loops distal to the Treitz ligament appeared stretched. The proximal extremity of the J-tube was then cut off at the PEG site. Subsequent colonoscopy revealed the distal extremity of the J-tube embedded in fecal material within the cecum. The tube was successfully extracted using a polypectomy snare. (Video)

Video  http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/763edcf9-ff45-45b6-bc21-4a9c2c79f0a9/Uploads/16849_ESGE_PEGJ%20anonymous.mp4

Publication History

Article published online:
27 March 2025