Conversion of Percutaneous Endoscopic Gastrostomy to Gastrojejunostomy Under Fluoroscopic Guidance for Treatment of Gastrocutaneous Fistula
Annals of Rehabilitation Medicine
;
: 133-137, 2015.
Artículo
en Inglés
| WPRIM
| ID: wpr-11513
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Yeyunostomía
/
Gastrostomía
/
Derivación Gástrica
/
Trastornos de Deglución
/
Ayuno
/
Fístula Intestinal
/
Nutrición Enteral
/
Accidente Cerebrovascular
/
Fístula
Tipo de estudio:
Guía de Práctica Clínica
Límite:
Anciano
/
Aged80
/
Humanos
Idioma:
Inglés
Revista:
Annals of Rehabilitation Medicine
Año:
2015
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS