Endoscopic Repair of Gastrocolic and Colocutaneous Fistulas Complicating Percutaneous Endoscopic Gastrostomy Tube.
Journal
Case reports in gastrointestinal medicine
ISSN: 2090-6528
Titre abrégé: Case Rep Gastrointest Med
Pays: United States
ID NLM: 101580185
Informations de publication
Date de publication:
2020
2020
Historique:
received:
26
10
2019
accepted:
21
01
2020
entrez:
26
2
2020
pubmed:
26
2
2020
medline:
26
2
2020
Statut:
epublish
Résumé
Percutaneous endoscopic gastrostomy (PEG) tube feeding has become one of the options for supplemental feeding in a selected group of patients. It is a generally safe procedure usually undertaken by a gastroenterologist or a surgeon in most cases but with over 200,000 tubes being placed yearly, there is bound to be complications. Some of the encountered complications include bleeding, site infection, tube migration, and inadvertent creation of fistula. We present our index patient admitted from a long-term care facility for feculent vomiting and fecal material through the PEG tube. Imaging and colonoscopy confirmed the presence of both a gastrocolic and a colocutaneous fistula, both closed endoscopically with an over-the-scope and through-the-scope clips, respectively. Feeding through a nasogastric tube was resumed after 48 hours, and by the second week of admission, the patient was discharged back to the facility after placement of a new PEG tube.
Identifiants
pubmed: 32095295
doi: 10.1155/2020/7262514
pmc: PMC7036111
doi:
Types de publication
Case Reports
Langues
eng
Pagination
7262514Informations de copyright
Copyright © 2020 Chukwunonso Chime et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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