Colon injury and gastrocolocutaneous fistula complication of percutaneous endoscopic gastrostomy.

作者信息

Imbeth-Acosta Pedro Luis, Martínez-Ávila María Cristina, Pineda Paternina Mario Andrés, Mondol Almeida Zulay Margarita, Llanos Almario Kevin, de Jesús Blanquicett Diaz Alejandro, Meza Gamarra Kelly Carolina

机构信息

Department of Gastroenterology, Division of Digestive Care and Endoscopy Nuevo Hospital Bocagrande Cartagena Colombia.

Department of Epidemiology and Preventive Medicine Nuevo Hospital Bocagrande Cartagena Colombia.

出版信息

JGH Open. 2022 Feb 16;6(3):219-221. doi: 10.1002/jgh3.12715. eCollection 2022 Mar.

DOI:10.1002/jgh3.12715

PMID:35355670

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8938758/

Abstract

Percutaneous endoscopic gastrostomy (PEG) insertion is an effective endoscopic procedure for enteral feeding in patients with difficulty swallowing. Many postprocedural complications have been reported after the PEG procedure. The displacement of the transverse colon over the anterior gastric wall can predispose the patient to colonic injury and fistulae during PEG placement. Gastrocolonic fistulas represent a serious but rare complication post PEG placement. We report a 90 year old man with a background of multiple comorbidities and high preoperative risk who developed a gastrocolocutaneous fistula post PEG placement due to a colonic injury. He was successfully treated with nonoperative management.

摘要