Preschooler having difficulty with gastrojejunostomy feedings

Gastrointestinal
AXR of gastrojejunostomy tube that has been pulled back into stomach
AP image obtained immediately after placement of a gastrojejunostomy tube and contrast injection through it (above) shows the tip of the gastrojejunostomy tube to be in good position in the proximal jejunum. AXR AP obtained 1 month later (below) shows the tip of the gastrojejunostomy tube to be in the stomach. A ventriculoperitoneal shunt is also present.

The diagnosis was gastrojejunostomy malfunction with pulling back of the jejunostomy tube tip out of the jejunum and into the stomach.

Published