Abstract
The authors present a case of early percutaneous endoscopic gastrostomy tube dislodgment, attempted replacement, and subsequent sepsis that resulted in the patient's death. Gastrostomy techniques, complications, preventive strategies, and proper tube management are addressed.
MeSH terms
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Accidents, Traffic
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Anti-Anxiety Agents / therapeutic use
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Craniotomy / adverse effects*
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Enteral Nutrition / adverse effects
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Enteral Nutrition / instrumentation
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Enteral Nutrition / methods
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Equipment Failure Analysis
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Fatal Outcome
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Gastrostomy / adverse effects*
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Gastrostomy / instrumentation
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Gastrostomy / methods
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Hematoma, Subdural, Chronic / complications
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Hematoma, Subdural, Chronic / etiology
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Hematoma, Subdural, Chronic / surgery*
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Humans
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Interdisciplinary Communication
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Interinstitutional Relations
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Lorazepam / therapeutic use
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Male
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Medical Errors / adverse effects*
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Middle Aged
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Peritonitis / complications
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Peritonitis / etiology*
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Postoperative Complications / etiology
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Psychomotor Agitation / drug therapy
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Psychomotor Agitation / etiology*
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Sepsis / complications
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Sepsis / etiology*
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Urinary Catheterization / adverse effects*
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Urinary Catheterization / methods
Substances
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Anti-Anxiety Agents
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Lorazepam