Complications of percutaneous endoscopic gastrostomy-jejunostomy for levodopa/carbidopa infusion in advanced Parkinson's disease

  • Ana Olivares | anaolivares84@hotmail.com Gastroenterology Department, Hospital Severo Ochoa, Leganés, Madrid, Spain.
  • David Collado Gastroenterology Department, Hospital Severo Ochoa, Leganés, Madrid, Spain.
  • Miguel Muñoz-Navas Gastroenterology Department, Clínica Universidad de Navarra, Pamplona, Spain.
  • Marta Calvo Gastroenterology Department, Hospital Doce de Octubre, Madrid, Spain.
  • Eduardo Olivo Surgical Deparment, Hospital Severo Ochoa, Leganés, Madrid, Spain.
  • Inmaculada Chico Gastroenterology Department, Hospital Severo Ochoa, Leganés, Madrid, Spain.
  • Carlos Marra Gastroenterology Department, Clínica Universidad de Navarra, Pamplona, Spain.
  • Rafael Sánchez-Estella Surgical Deparment, Hospital Severo Ochoa, Leganés, Madrid, Spain.
  • Sarbelio Rodríguez Gastroenterology Department, Hospital Doce de Octubre, Madrid, Spain.
  • Josè Carlos Subtil Gastroenterology Department, Clínica Universidad de Navarra, Pamplona, Spain.
  • Luis Ramon Rábago Gastroenterology Department, Hospital Severo Ochoa, Leganés, Madrid, Spain.

Abstract

Continuous infusions of levodopa directly into the duodenum-yeyunum is an effective therapy to reduce daily off time in an advanced stage of Parkinson's disease, but it is not without complications, particularly device related problems. We present our experience in three Spanish hospitals with these complications, including a severe case with migration, several decubitus ulcers, and one case of perforation of the bowel and finally death.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.
Published
2012-03-06
Info
Issue
Section
Case Reports
Keywords:
percutaneous endoscopic gastrostomy-tube, levodopa/carbidopa infusion in duodenum, intestinal obstruction, intestinal perforation, endoscopic extraction
Statistics
  • Abstract views: 5051

  • PDF: 3707
How to Cite
Olivares, A., Collado, D., Muñoz-Navas, M., Calvo, M., Olivo, E., Chico, I., Marra, C., Sánchez-Estella, R., Rodríguez, S., Subtil, J. C., & Rábago, L. R. (2012). Complications of percutaneous endoscopic gastrostomy-jejunostomy for levodopa/carbidopa infusion in advanced Parkinson’s disease. Gastroenterology Insights, 4(1), e4. https://doi.org/10.4081/gi.2012.e4