Phytobezoar Associated with Levodopa-carbidopa Intestinal Gel Infusion in Patients with Parkinson's Disease: A Case Report and Literature Review
Open Access
- 15 October 2021
- journal article
- review article
- Published by Japanese Society of Internal Medicine in Internal Medicine
- Vol. 60 (20), 3317-3320
- https://doi.org/10.2169/internalmedicine.7210-21
Abstract
Continuous intrajejunal infusion of levodopa-carbidopa intestinal gel (LCIG) is an established device-aided therapy for advanced Parkinson's disease (PD). Phytobezoar associated with LCIG is a rare device-related complication and presents with exacerbations of gastrointestinal and PD symptoms. We herein report the case of a phytobezoar that was formed at a knot on the pigtail-shaped J-tube and developed only in association with postprandial abdominal pain, similar to a feeling of a tube being pulled in without an exacerbation of PD symptoms. Such abdominal pain may be a warning sign of phytobezoar in LCIG-treated patients. Despite device-related complications, high-pressure alarms are not always present, and PD symptoms are not always exacerbated.Keywords
This publication has 15 references indexed in Scilit:
- MR Imaging Features of Intestinal PhytobezoarJournal of Gastrointestinal Surgery, 2017
- Fistulization of J-PEG Jejunal Tube into the Colon in a Patient Treated with Duodopa® Infusion: A Case ReportGE - Portuguese Journal of Gastroenterology, 2017
- Review of the diagnosis and management of gastrointestinal bezoarsWorld Journal of Gastrointestinal Endoscopy, 2015
- Intestinal obstruction due to phytobezoars: An updateWorld Journal of Clinical Cases, 2015
- Gastric bezoar complication of Duodopa® therapy in Parkinson's disease, treated with Coca‐Cola®Movement Disorders, 2014
- Continuous intrajejunal infusion of levodopa-carbidopa intestinal gel for patients with advanced Parkinson's disease: a randomised, controlled, double-blind, double-dummy studyThe Lancet Neurology, 2013
- A clinically silent, but severe, duodenal complication of duodopa infusion: Figure 1Journal of Neurology, Neurosurgery & Psychiatry, 2012
- Complications of Percutaneous Endoscopic Gastrostomy-Jejunostomy for Levodopa/Carbidopa Infusion in Advanced Parkinson's DiseaseGastroenterology Insights, 2012
- Asparagus and jejunal-through-PEG: An unhappy encounter in intrajejunal levodopa infusion therapyParkinsonism & Related Disorders, 2011
- Patient profile, indications, efficacy and safety of duodenal levodopa infusion in advanced Parkinson's diseaseMovement Disorders, 2009