Recovery of a misinserted gastrostomy tube during replacement: effectiveness of gastropexy using a 'Funada style' kit.

reported the efficacy of gastropexy using a ‘Funada style’ kit [1, 2] . Our patient, with a misinserted gastrostomy tube, was successfully treated during replacement using the gastropexy technique. Dear Sir, Percutaneous endoscopic gastrostomy (PEG) is a widely accepted method of providing long-term nutrition. However, as this procedure becomes more common for nutritional support, numerous complications have been described. We describe a case in which a gastrostomy tube was misinserted during tube replacement; endoscopic gastropexy successfully prevented peritonitis in this patient. A 65-year-old man was admitted for replacement of a gastrostomy tube, which had been inserted after an operation for neck cancer. Following tube replacement, a gastrografin study was performed through the gastrostomy tube; this study revealed that the tube had been misinserted. We immediately fixed the gastric wall to the abdominal wall using the gastropexy technique ( fig. 1 ). The patient showed no symptoms suggesting peritonitis. Gastropexy involves a technique in which the anterior gastric wall is non-surgically sutured to the abdominal wall. The procedure is often performed prior to the placement of a tube, and some studies have Published online: August 8, 2007