Endoscopic Management for Colocutaneous Fistula as a Complication of Percutaneous Endoscopic Gastrostomy
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
;
: 128-131, 2013.
Article
in Korean
| WPRIM
| ID: wpr-173429
ABSTRACT
Percutaneous endoscopic gastrostomy (PEG) has become a safe and effective technique for enteral feeding. Colocutaneous fistula, which is a rare complication of PEG, is thought to be formed during insertion of the original PEG tube when the colon becomes interposed between the stomach and the abdominal wall. We present a patient who developed colocutaneous fistula after PEG tube exchange. Three years ago, a PEG tube for enteral feeding was placed in a 27-year-old male with cerebral palsy and severe scoliosis. Two months after PEG tube exchange, he was admitted to our hospital because fecal material was observed in the tube and exit site. The diagnosis of colocutaneous fistula was made after injection of gastrografin in the fistula opening of the abdominal wall. Endoscopic management for the fistula opening of the colon was successfully performed using metal-clips and we were able to avoid surgical therapy for the fistula.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Scoliosis
/
Stomach
/
Diatrizoate Meglumine
/
Gastrostomy
/
Cerebral Palsy
/
Enteral Nutrition
/
Colon
/
Abdominal Wall
/
Fistula
Limits:
Humans
/
Male
Language:
Korean
Journal:
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Year:
2013
Type:
Article
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