Two Cases of Uncommon Complication during Percutaneous Endoscopic Gastrostomy Tube Replacement and Treatment.
10.4166/kjg.2014.63.2.120
- Author:
Hyun Joo LEE
1
;
Rok Seon CHOUNG
;
Min Seon PARK
;
Jeung Hui PYO
;
Seung Young KIM
;
Jong Jin HYUN
;
Sung Woo JUNG
;
Ja Seol KOO
;
Sang Woo LEE
;
Jai Hyun CHOI
Author Information
1. Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. crsdr@korea.ac.kr
- Publication Type:Case Reports
- Keywords:
Gastrostomy;
Complication;
Fistula
- MeSH:
Aged;
Cerebral Infarction/diagnosis;
Digestive System Fistula/*etiology;
Endoscopy, Gastrointestinal;
Enteral Nutrition/*adverse effects/instrumentation;
Gastrostomy;
Humans;
Male;
Middle Aged;
Nervous System Diseases/diagnosis;
Risk Factors;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2014;63(2):120-124
- CountryRepublic of Korea
- Language:English
-
Abstract:
We presented two interesting cases of gastrocolocutaneous fistula that occurred after percutaneous endoscopic gastrostomy (PEG) tube placement, and its management. This fistula is a rare complication that occurs after PEG insertion, which is an epithelial connection between mucosa of the stomach, colon, and skin. The management of the fistula is controversial, ranging from conservative to surgical intervention. Endoscopists should be aware of the possibility of gastrocolocutaneous fistula after PEG insertion, and should evaluate the risk factors that may contribute to the development of gastrocolocutaneous fistula before the procedure. We reviewed complications of gastrostomy tube insertion, symptoms of gastrocolocutaneous fistula, and its risk factors.
