Colocutaneous fistula following migration of PEG tube

Berger, Scott; Zarling, Edwin J.

doi:10.1016/s0016-5107(91)70634-2

Cited by 36 publications

(17 citation statements)

References 11 publications

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“…Durch die Punktion können in sehr sel tenen Fällen umliegende Organe (z. B. Dünndarm, Kolon, Leber) verletzt wer den; Blutungen, anhaltende Schmerzen oder Fistelbildungen sind beschrieben [6]. Ebenso wurde über die Streuung von Tu morzellen (Impfmetastasen bzw.…”

Section: Perkutane Sondenunclassified

Ernährungssonden bei kritisch kranken Patienten

et al. 2010

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The use of enteral feeding tubes is an important part of early enteral feeding in intensive care medicine. In other faculties with non-critically ill patients, such as (oncologic) surgery, neurology, paediatrics or even in palliative care medicine feeding tubes are used under various circumstances as a temporary or definite solution. The advantage of enteral feeding tubes is the almost physiologic administration of nutrition, liquids and medication. Enteral nutrition is thought to be associated with a reduced infection rate, increased mucosal function, improved immunologic function, reduced length of hospital stay and reduced costs. However, the insertion and use of feeding tubes is potentially dangerous and may be associated with life-threatening complications (bleeding, perforation, peritonitis, etc.). Therefore, the following article will give a summary of the different types of enteral feeding tubes and their range of application. Additionally, a critical look on indication and contraindication is given as well as how to insert an enteral feeding tube.

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Section: Perkutane Sondenunclassified

Ernährungssonden bei kritisch kranken Patienten

et al. 2010

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“…Colonic misplacement of the PEG tube may lead to serious complications, in particular the development of gastrocolic, colocutaneous, or gastrocolocutaneous fistulae [2]. Its probable etiology is the penetration of a bowel loop (mostly the transverse colon) interposed between the stomach and the abdominal wall, either by inadvertent puncture during tube placement or, more commonly, due to gradual erosion of the tube into the adjacent bowel [3]. Factors predisposing to its occurrence in acute settings are insufficient gastric insufflation, past history of laparotomy causing adhesions and consecutive trapping of bowel loops, and improper transillumination.…”

Section: Discussionmentioning

confidence: 99%

Wandering Gastrostomy

2015

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Percutaneous endoscopic gastrostomy (PEG) is a relatively safe and effective method of providing nutrition to patients with neurologic deficits or proximal gastrointestinal pathology. Complications that follow this common procedure include dislodgement, dysfunction, infection, gastric/colonic perforation, bleeding, peritonitis, or death. The emergency physician should be aware of the complications and symptoms/signs associated for appropriate management of these patients. We present a case of a young lady who developed a cerebral infarction following amniotic fluid embolism during her cesarean section and had undergone a PEG tube placement. She developed displacement of this PEG tube and underwent another PEG tube placement. She later presented to us with PEG tube migration into the transverse colon and required surgical removal of the same PEG tube.

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“…However, PEG requires the blind placement of the tube through the peritoneal cavity into the stomach. This maneuver creates the potential for injury to the surrounding viscera [6][7][8][9][10][11]. The overall morbidity of PEG ranges from 5% to 13% [12,13]; complications of PEG include colonic injury, liver injury, and injury to the oropharynx or esophagus.…”

Section: Discussionmentioning

confidence: 99%