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Figure 3.53. Gastrostomy tube migration with bowel obstruction. (A) The gastrostomy tube has migrated into the duodenal bulb and produced partial gastric outlet obstruction. (B, C) Two different patients with migration of the gastrostomy tube into the small bowel with subsequent small-bowel obstruction.

Figure 3.53. Gastrostomy tube migration with bowel obstruction. (A) The gastrostomy tube has migrated into the duodenal bulb and produced partial gastric outlet obstruction. (B, C) Two different patients with migration of the gastrostomy tube into the small bowel with subsequent small-bowel obstruction.

difficult to identify on plain films. A small radiopaque coil in the proximal end of the insufflation arm of a Foley catheter is characteristic and may be identified if carefully searched for (Figs. 3.54 and 3.55). "Lost tubes" may be passed through the rectum but intervention may be required for removal. Gastric ulcer may develop secondary to pressure

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