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Case Reports
. 2010 Apr-Jun;3(2):191-2.

Cutting the Gordian knot: the blockage of the jejunal tube, a rare complication of Duodopa infusion treatment

Lucian M Negreanu  1 , Bogdan Ovidiu Popescu, Ruxandra Doina Babiuc, Amalia Ene, Dan Andronescu, Ovidiu Alexandru Băjenaru
Affiliations
Case Reports

Cutting the Gordian knot: the blockage of the jejunal tube, a rare complication of Duodopa infusion treatment

Lucian M Negreanu et al. J Med Life. 2010 Apr-Jun.

Erratum in

  • J Med Life. 2011 Jan-Mar;4(1):7 p following 123. Lucian, Negreanu M [corrected to Negreanu, Lucian M]; Ovidiu, Popescu Bogdan [corrected to Popescu, Bogdan Ovidiu]; Doina, Babiuc Ruxandra [corrected to Babiuc, Ruxandra Doina]; Amalia, Ene [corrected to Ene, Amalia]; Dan, Andronescu [corrected to Andrones

Abstract

We present the case of a 21-year-old man with advanced refractory Parkinson's disease treated with Duodopa continuous infusion. With this therapy, the patient had a spectacular recovery but after six months, he experienced an aggravation of his symptoms. A failure of his pumping system was suspected but we discovered that the jejunal tube was blocked due to a knot around a bezoar. This is the first complication of this kind described with the Duodopa infusion technique.

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Figures

Figure 1
Figure 1
The jejunal tube after extraction
Figure 2
Figure 2
Jejunal tube, detail: A knot around a bezoar
Figure 3
Figure 3
Endoscopic view of the replacement jejunal tube (in place over a PEG gastrostomy)
See this image and copyright information in PMC

References

    1. Nyholm D. Enteral levodopa/carbidopa gel infusion for the treatment of motor fluctuations and dyskinesias in advanced Parkinson's disease. Expert Rev Neurother. 2006;6:1403–1411. - PubMed
    1. Nyholm D, Lewander T, Johansson A, Lewitt PA, Lundqvist C. Enteral levodopa/carbidopa infusion in advanced Parkinson disease: long–term exposure. Clin Neuropharmacol. 2008;31:63–73. - PubMed
    1. Schrag SP, Sharma R, Jaik NP, Seamon MJ, Lukaszczyk JJ, Martin ND. Complications Related to Percutaneous Endoscopic Gastrostomy (PEG) Tubes. A Comprehensive Clinical Review. J Gastrointestin Liver Dis . 2007;4:407–418. - PubMed

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