Publicação

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

Detalhes bibliográficos
Resumo:	The continuous delivery of a levodopa/carbidopa gel suspension (Duodopa®) into the small bowel through a jejuna 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.
Autores principais:	Russo,Pedro
Outros Autores:	Costa,Mariana; Silva,Mário; Sousa,Ary de; Carvalho,Diana; Saiote,Joana; Mendes,Milena
Assunto:	Antiparkinson agents Parkinson disease Gastrointestinal endoscopy Gastrostomy/adverse effects
Ano:	2017
País:	Portugal
Tipo de documento:	relatório
Tipo de acesso:	acesso aberto
Instituição associada:	Fundação para a Ciência e Tecnologia
Idioma:	inglês
Origem:	SciELO Portugal

Descrição
Resumo:	The continuous delivery of a levodopa/carbidopa gel suspension (Duodopa®) into the small bowel through a jejuna 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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