Toddler with a gastrostomy tube who when fed by mouth has her feeds come out of the gastrostomy tube, which has been replaced by a wound vacuum

Gastrointestinal
Upper GI of pediatric gastroparesis
AP image from an upper GI exam taken 15 minutes after injection of water soluble contrast into the stomach through a nasogastric tube shows some of the contrast to have emptied out of the stomach into the small bowel. Contrast was also emptying out of the stomach through the wound vac on the lower left side of the abdomen. The stomach remains distended with contrast.

The diagnosis was gastroparesis.

Published