LAUSR

A 56-year-old man who had undergone placement of a feeding jejunostomy secondary to esophageal cancer presented believing that his feeding tube had fallen out but he was unable to locate it in his home. He had not experienced any abdominal pain, tarry stool, intestinal obstruction, or peritonitis. Radiological examination revealed that the missing jejunostomy Foley tube had migrated into the small intestine. Endoscopy failed to find the migrated tube, which remained stuck over the terminal ileum with proximal small bowel dilatation after 3 days (▶Fig. 1). We decided to perform endoscopic retrieval and the migrated tube with inflated balloon was found in the terminal ileum (▶Fig. 2). Attempts using snare or forceps all failed to pull out the impacted catheter due to adhesion resistance. We deflated the balloon after puncturing it with an injection needle (▶Video 1), and the Foley tube was successfully removed without resistance (▶Fig. 3, ▶Fig. 4). A jejunal tube is one of the common methods for providing enteral feeding access for nutritional support [1] when the oral route is restricted or not accessible [2]. Complications of the feeding tube, which include obstruction, intussusception, and migration of the tube, are uncommon [3]. Complete migration is rare and usually requires surgical interE-Videos