Gastrocolocutaneous Fistula-Delayed complication of Percutaneous Endoscopic Gastrostomy

Year 2015, Volume: 1 Issue: 4, 116 - 118, 01.10.2015

İnanc Samil Sarici Ferhat Kala Gokmen Kara Neslihan Eskut Elif Gundogdu

https://doi.org/10.5455/umj.20150417122313

Abstract

Background: Percutaneous endoscopic gastrostomy PEG tubes are a well-established, effective, and a relatively safe technique for long term feeding of patients. However, gastrocolocutaneous fistula is a major complication of PEG. Case presentation: An 82-year-old woman with cerebral severe infarction underwent uneventful PEG tube placement for enteral feeding. A few months later transient diarrhea developed within minutes after each PEG tube feeding. Another gastrostomy tube was placed surgically and the fistula was then also excised. The postoperative course was uneventful. Conclusion: Gastrocolocutaneous fistula must be cosidered as a complication of PEG tube placement when patients develop a sudden onset of unexplained diarrhea after tube feeding.

Keywords

Percutaneous endoscopic gastrostomy, gastrocolocutaneous fistula.

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