Gastrocolic fistula as a complication of percutaneous endoscopic gastrostomy

Pitsinis, Vassilis; Roberts, PL

doi:10.1038/sj.ejcn.1601687

Cited by 17 publications

(16 citation statements)

References 7 publications

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“…[1][2][3][4][5][6][7][8] We demonstrated the successful and novel application of 2 different cardiac septal closure devices across a persistent fistula in a patient who was too sick to undergo surgery.…”

Section: Discussionmentioning

confidence: 99%

A new method for endoscopic closure of gastrocolonic fistula: novel application of a cardiac septal defect closure device (with video)

Melmed

Kar

Geft

et al. 2009

Gastrointestinal Endoscopy

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Section: Discussionmentioning

confidence: 99%

A new method for endoscopic closure of gastrocolonic fistula: novel application of a cardiac septal defect closure device (with video)

Melmed

Kar

Geft

et al. 2009

Gastrointestinal Endoscopy

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“…These patients often present with transient diarrhoea after PEG feeding 5. Faecal material may be seen in the PEG tube when it is left on free drainage and faecalent vomiting may occur due to passage of faeces from the colon to the stomach through the gastrocolic fistula 6. Most of these patients are discovered late especially at the time of a PEG tube change.…”

Section: Discussionmentioning

confidence: 99%

Colonic injury following percutaneous endoscopic-guided gastrostomy insertion

Ahmad¹,

Thomson

McFall

et al. 2010

Case Reports

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Percutaneous endoscopic gastrostomy (PEG) is a common practice usually offered to patients who are unable to tolerate or swallow oral feed and require long-term nutrition. We present a case of early pneumoperitoneum after a PEG placement due to colonic perforation. The patient was severely malnourished and had a medical history of brain injury, cerebrovascular accident cerebrovascular accident (CVA) and bilateral below knee amputations from a bomb blast 13 years ago. The PEG tube was placed under sedation. On the first postoperative day, the patient had a subtle pneumoperitoneum that was considered secondary to the procedure. On the third postoperative day, the patient became tachycardiac with abdominal distension. A CT scan showed the PEG tube traversing through the transverse colon. The patient underwent a laparotomy and repair of colonic injury and made an uneventful recovery.

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“…Other common complications include benign post-PEG pneumoperitoneum and PEG tube deterioration or malfunction [7]. Unusual complications include inadvertent placement of the PEG tube through the intestine or liver resulting in peritonitis or bleeding, gastrocolic fistula formation, small-bowel erosion, or perforation caused by tube migration, separation of the internal bumper from the tube resulting in small-bowel obstruction, and buried bumper syndrome [8][9][10][11].…”

Section: Discussionmentioning

confidence: 99%