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Journal of Case Reports
Endoscopic Resolution of Nasojejunal Tube Entrapment Post-Duodenal Ulcer Perforation Repair
Minakshi Ashok Gadahire, Siddhant Jayaghosh Kaddu, Abhijit Ganesh Bankuwale, Parth Hemant Patel
Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Sion (W) Mumbai, Maharashtra, India.
Corresponding Author:
Dr Siddhant Jayaghosh Kaddu 
Email: skaddu@gmail.com
Received: 24-DEC-2023 Accepted: 12-MAR-2024 Published Online: 25-JUN-2024
DOI: http://dx.doi.org/10.17659/01.2024.0014
Background: While common complications of naso-enteric tubes (NETs) i.e naso-jejunal (NJ) tube or naso-gastric tube are frequently encountered, rare complications pose significant challenges for both the treating doctor and the patient. One such rare complication is entrapment of NJ tube, which complicates its removal and requires careful handling to avoid major redo open surgery. Case Report: We present a case report of a 40-year-old man who experienced iatrogenic entrapment of naso-jejunal tube in a Mersilk suture thread following a Grham’s omental patch repair for duodenal perforation. The entrapped NJ tube was successfully removed endoscopically using a needle knife papillotome. Conclusion: The use of needle knife papillotome to cut the suture thread causing entrapment can be a safe and simple technique particularly in the pylorus. Endoscopic procedure like this is economical, timesaving and minimally invasive, significantly improving the patient’s outcome by reducing morbidity associated with a redo-surgery and alleviating surgeon’s stress by avoiding a major open surgery.
Keywords : Complications, Duodenal Ulcer, Endoscopy, Enteral Feeding, Perforation.
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