ArticleSurgical case reports2026
Gastric Antral Perforation Caused by a Percutaneous Endoscopic Gastrojejunostomy Tube: A Case Report.
Article in Surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPercutaneous endoscopic gastrojejunostomy (PEG-J) is used when gastric feeding via percutaneous endoscopic gastrostomy (PEG) is poorly tolerated due to gastroesophageal reflux or delayed gastric emptying. Gastrointestinal perforation related to PEG-J has been reported mainly in infants; gastric perforation in adults is extremely rare. We report a case of gastric antral perforation caused by the tube tip 12 days after exchange from a PEG tube to a PEG-J tube. CASE PRESENTATION: A 49-year-old man with severe dysphagia after brainstem hemorrhage underwent PEG placement using the introducer (direct puncture) technique, and a low-profile button was inserted into the anterior wall of the mid-gastric body. During 1 month of gastric feeding, he developed recurrent nausea and vomiting. Endoscopy showed mild antral torsion without obstruction, and reflux was considered the primary cause. The tube was exchanged for a double-lumen PEG-J tube under endoscopic guidance; however, the jejunal extension could not be advanced beyond the second portion of the duodenum and showed intragastric looping, so the tube was secured with residual intragastric looping and the tip was positioned in the second portion of the duodenum. Enteral feeding was initially tolerated. On day 12, he developed acute right-sided abdominal pain, and CT demonstrated extraluminal migration of the tube tip. Emergency laparotomy revealed perforation of the anterior wall of the greater curvature side of the gastric antrum, just proximal to the pylorus, with localized peritonitis and limited contamination. The perforation was closed primarily and reinforced with an omental patch. To secure a route for enteral nutrition, a gastrojejunostomy with an additional Braun enteroenterostomy was performed. The postoperative course was uneventful, and enteral nutrition was resumed without recurrent reflux symptoms.
conclusionsIntragastric looping and tube rigidity may cause persistent, focal pressure on the gastric wall and lead to perforation. Careful attention to tube configuration, appropriate device selection, and prompt evaluation of abdominal pain after PEG-J placement are essential.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.