RTA followed by C1-C2 dislocation and quadriplegia

Procedure Done by : Dr. Dr. Arun Bhadauria, gastroenterologist & Team

RTA followed by C1-C2 dislocation and quadriplegia

Young patient with RTA followed by C1-C2 dislocation and quadriplegia. He developed tracheo-esophageal fistula, not tolerating Ryle’s tube feeding and also became cachexic. As he required prolong tube feeding, Ryle’s tube is not ideal for the same (risk of regurgitation, aspiration, tube block, poor intake). So Percutaneous Gastrostomy (PEG) tube was placed. This tube easily work for 6-12 months, after that it can be replaced easily. PEG tube is ideal for feeding in neurological patients those who have oropharyngeal dysphagia, in altered sensorium, post CVA etc.

Very thanks to Dr Vipul sir for discussing this option and BIMR management. Procedure was done under AYUSHMAN.