Abstract

RUSSO, Pedro et al. Fistulization of J-PEG Jejunal Tube into the Colon in a Patient Treated with Duodopa^® Infusion: A Case Report. GE Port J Gastroenterol [online]. 2017, vol.24, n.3, pp.147-150. ISSN 2341-4545.  https://doi.org/10.1159/000452694.

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.

Keywords : Antiparkinson agents; Parkinson disease; Gastrointestinal endoscopy; Gastrostomy/adverse effects.

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