Conversion of Percutaneous Endoscopic Gastrostomy to Gastrojejunostomy Under Fluoroscopic Guidance for Treatment of Gastrocutaneous Fistula.
10.5535/arm.2015.39.1.133
- Author:
Joon Sung KIM
1
;
Jun Hyun BAIK
;
Seong Hoon LIM
;
Bo Young HONG
;
Leechan JO
Author Information
1. Department of Rehabilitation Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine, Suwon, Korea. joychan85@hotmail.com
- Publication Type:Case Report
- Keywords:
Gastrostomy;
Jejunostomy;
Intestinal fistula
- MeSH:
Aged, 80 and over;
Deglutition Disorders;
Enteral Nutrition;
Fasting;
Fistula*;
Gastric Bypass*;
Gastrostomy*;
Humans;
Intestinal Fistula;
Jejunostomy;
Stroke
- From:Annals of Rehabilitation Medicine
2015;39(1):133-137
- CountryRepublic of Korea
- Language:English
-
Abstract:
Persistent enterocutaneous fistula after the removal of a gastrostomy tube is an unusual complication of percutaneous endoscopic gastrostomy (PEG). The following case report describes an 81-year-old man diagnosed with stroke and dysphagia in May 2008. The patient had been using a PEG since 2008, and PEG site infection occurred in June 2013. The PEG tube was removed and a new PEG tube was inserted. Thereafter, formation of gastrocutaneous fistula around the previous infected PEG site was observed. The fistula was refractory to medical management, accompanied by long duration of fasting and peripheral alimentation. Therefore, gastrojejunostomy tube insertion via the previously inserted PEG tube was performed, under fluoroscopic guidance; this mode of management was successful. For patients who have a gastrocutaneous fistula, gastrojejunostomy tube insertion via the pre-existing PEG tube is a safe and effective alternative management for enteral feeding.
