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Correspondence
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Volume 340:970-971 March 25, 1999 Number 12
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Duodenal Obstruction from a Gastric Feeding Tube

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To the Editor: A 43-year-old man in a persistent vegetative state was admitted to the hospital with recurrent bouts of vomiting — bilious emesis without coffee-ground material. He received gastric-tube feedings through a 20-French Foley catheter. During the previous six months he had had several episodes of emesis; they were usually single, nocturnal events. There was no diarrhea, abdominal pain, or obstipation associated with the vomiting. The patient was afebrile. The abdominal examination was unremarkable. A flat-plate x-ray film of the abdomen showed a normal bowel-gas pattern with the gastric tube over the upper abdomen. The results of computed tomography . . . [Full Text of this Article]

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