Endoscopic Management for Colocutaneous Fistula as a Complication of Percutaneous Endoscopic Gastrostomy
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
;
: 128-131, 2013.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Escoliose
/
Estômago
/
Diatrizoato de Meglumina
/
Gastrostomia
/
Paralisia Cerebral
/
Nutrição Enteral
/
Colo
/
Parede Abdominal
/
Fístula
Limite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Ano de publicação:
2013
Tipo de documento:
Artigo
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