Fistulization of J-PEG Jejunal Tube into the Colon in a Patient Treated with Duodopa® Infusion: A Case Report | Zendy

Pedro Russo | Zendy; Mariana Costa | Zendy; Mário J. Silva | Zendy; Ary de Sousa | Zendy; Diana Carvalho | Zendy; Joana Saiote | Zendy; Milena Mendes | Zendy

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Fistulization of J-PEG Jejunal Tube into the Colon in a Patient Treated with Duodopa® Infusion: A Case Report

Author(s) -

Pedro Russo,

Mariana Costa,

Mário J. Silva,

Ary de Sousa,

Diana Carvalho,

Joana Saiote,

Milena Mendes

Publication year - 2017

Publication title -

ge portuguese journal of gastroenterology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.321

H-Index - 9

eISSN - 2341-4545

pISSN - 2387-1954

DOI - 10.1159/000452694

Subject(s) - medicine , percutaneous endoscopic gastrostomy , surgery , complication , carbidopa , catheter , tube (container) , jejunum , gastrostomy , feeding tube , anastomosis , peg ratio , disease , parkinson's disease , levodopa , mechanical engineering , finance , engineering , economics

The continuous delivery of a levodopa/carbidopa gel suspension (Duodopa®) into the small bowel through a jejunal tube inserted via percutaneous endoscopic gastrostomy represents a new treatment method in advanced Parkinson disease. Some severe device-related complications have been described in the last few years. Some of them are associated with phytobezoar formation at the pigtail of the catheter. We present the case of a Parkinson disease patient treated with the Duodopa infusion system complicated by jejunal tube fistulization into the colon. We suggest a possible treatment strategy for this complication, which has not been described in the literature to date.

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