{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T16:43:43Z","timestamp":1726505023883},"reference-count":4,"publisher":"California Digital Library (CDL)","issue":"4","license":[{"start":{"date-parts":[[2019,9,30]],"date-time":"2019-09-30T00:00:00Z","timestamp":1569801600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>A 78-year old male presented to the emergency department after accidental dislodgement of his chronic gastrostomy tube. A replacement gastrostomy tube was passed easily through the existing stoma and flushed without difficulty. Confirmatory abdominal radiography demonstrated contrast in the proximal small bowel, but the patient subsequently developed epigastric pain and refractory vomiting. Computed tomography revealed the tip of the gastrostomy tube terminating in the pylorus or proximal duodenum. This case highlights gastric outlet obstruction complicating the replacement of a gastrostomy tube and the associated radiographic findings.<\/jats:p>","DOI":"10.5811\/cpcem.2019.7.43626","type":"journal-article","created":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T17:54:53Z","timestamp":1572976493000},"page":"442-443","source":"Crossref","is-referenced-by-count":2,"title":["Gastric Outlet Obstruction Due to Malposition of Replacement Gastrostomy Tube"],"prefix":"10.5811","volume":"3","author":[{"given":"Brent","family":"Becker","sequence":"first","affiliation":[{"name":"Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Travis","family":"Walker","sequence":"additional","affiliation":[{"name":"Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2019,9,30]]},"reference":[{"key":"ref0","unstructured":"Schrag SP, Sharma R, Jaik NP, et al. Complications related to percutaneous endoscopic gastrostomy (PEG) tubes. A comprehensive clinical review. J Gastrointestin Liver Dis. 2007;16(4):407-18."},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Shah J, Sunkara T, Yarlagadda KS, et al. Gastric outlet and duodenal obstruction as a complication of migrated gastrostomy tube: report of two cases and literature review. Gastroenterology Res. 2018;11(1):71-4.","DOI":"10.14740\/gr954w"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Rahnemai-Azar AA, Rahnemaiazar AA, Naghshizadian R, et al. Percutaneous endoscopic gastrostomy: indications, technique, complications and management. World J Gastroenterol. 2014;20(24):7739-51.","DOI":"10.3748\/wjg.v20.i24.7739"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Vu S, Lewis AB, Moore B. Gastric outlet obstruction caused by Foley catheter: a complication when substituting for commercial gastrostomy tubes. Clin Pract Cases Emerg Med. 2018;2(1):35-8.","DOI":"10.5811\/cpcem.2017.10.35930"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2019,11,7]],"date-time":"2019-11-07T19:02:32Z","timestamp":1573153352000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/9h66v950"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,30]]},"references-count":4,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019,10,31]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2019.7.43626","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2019,9,30]]}}}