We operate a number of pancreatic necrotic patient and we used to put JP drain in cavity for a long duration of time, for that JP drain was most comfortable and effective in form of drainage with its negative suction capacity, long durability, and less pain for the patient as it is made up of soft PTFE material. But in our 3 operated patient of necrosectomy, we found that the JP drain was migrated in the stomach. on average, the patients presented after 4-6 months of necrosectomy with complain of gastric content was coming out of JP drain. On investigation, (upper GI scopy) found to have migrated JP drain in the stomach.
All 3 cases were managed by simple one stage pulling out of drain (in view of 6 months following native surgery, which would have lead to tract formation).
*Always listen to patients' complaints.
*Even PTFE/soft drain can also ultimately perforate/migrate in the hollow viscus.
*Any gastric drain/tubes can be pulled out in single-stage after 4-6 months.
*Same is the story with the small intestine.
*At most care should be taken if the same happens with the colon.