Endoscopic Repair of Gastrocolic and Colocutaneous Fistulas Complicating Percutaneous Endoscopic Gastrostomy Tube
Percutaneous endoscopic gastrostomy (PEG) tube feeding has become one of the options for supplemental feeding in a selected group of patients. It is a generally safe procedure usually undertaken by a gastroenterologist or a surgeon in most cases but with over 200,000 tubes being placed yearly, there...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/7262514 |
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| author | Chukwunonso Chime Ahmed Baiomi Kishore Kumar Harish Patel Anil Dev Jasbir Makker |
| author_facet | Chukwunonso Chime Ahmed Baiomi Kishore Kumar Harish Patel Anil Dev Jasbir Makker |
| author_sort | Chukwunonso Chime |
| collection | DOAJ |
| description | Percutaneous endoscopic gastrostomy (PEG) tube feeding has become one of the options for supplemental feeding in a selected group of patients. It is a generally safe procedure usually undertaken by a gastroenterologist or a surgeon in most cases but with over 200,000 tubes being placed yearly, there is bound to be complications. Some of the encountered complications include bleeding, site infection, tube migration, and inadvertent creation of fistula. We present our index patient admitted from a long-term care facility for feculent vomiting and fecal material through the PEG tube. Imaging and colonoscopy confirmed the presence of both a gastrocolic and a colocutaneous fistula, both closed endoscopically with an over-the-scope and through-the-scope clips, respectively. Feeding through a nasogastric tube was resumed after 48 hours, and by the second week of admission, the patient was discharged back to the facility after placement of a new PEG tube. |
| format | Article |
| id | doaj-art-74f3bac0da634395a713ba4cda9d4a7a |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-74f3bac0da634395a713ba4cda9d4a7a2025-02-03T06:06:42ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362020-01-01202010.1155/2020/72625147262514Endoscopic Repair of Gastrocolic and Colocutaneous Fistulas Complicating Percutaneous Endoscopic Gastrostomy TubeChukwunonso Chime0Ahmed Baiomi1Kishore Kumar2Harish Patel3Anil Dev4Jasbir Makker5Department of Gastroenterology, Bronx Care Health Systems–Affiliate of Mount Sinai Hospital Systems, Bronx, NY 10457, USADepartment of Gastroenterology, Bronx Care Health Systems–Affiliate of Mount Sinai Hospital Systems, Bronx, NY 10457, USADepartment of Gastroenterology, Bronx Care Health Systems–Affiliate of Mount Sinai Hospital Systems, Bronx, NY 10457, USADepartment of Gastroenterology, Bronx Care Health Systems–Affiliate of Mount Sinai Hospital Systems, Bronx, NY 10457, USADepartment of Gastroenterology, Bronx Care Health Systems–Affiliate of Mount Sinai Hospital Systems, Bronx, NY 10457, USADepartment of Gastroenterology, Bronx Care Health Systems–Affiliate of Mount Sinai Hospital Systems, Bronx, NY 10457, USAPercutaneous endoscopic gastrostomy (PEG) tube feeding has become one of the options for supplemental feeding in a selected group of patients. It is a generally safe procedure usually undertaken by a gastroenterologist or a surgeon in most cases but with over 200,000 tubes being placed yearly, there is bound to be complications. Some of the encountered complications include bleeding, site infection, tube migration, and inadvertent creation of fistula. We present our index patient admitted from a long-term care facility for feculent vomiting and fecal material through the PEG tube. Imaging and colonoscopy confirmed the presence of both a gastrocolic and a colocutaneous fistula, both closed endoscopically with an over-the-scope and through-the-scope clips, respectively. Feeding through a nasogastric tube was resumed after 48 hours, and by the second week of admission, the patient was discharged back to the facility after placement of a new PEG tube.http://dx.doi.org/10.1155/2020/7262514 |
| spellingShingle | Chukwunonso Chime Ahmed Baiomi Kishore Kumar Harish Patel Anil Dev Jasbir Makker Endoscopic Repair of Gastrocolic and Colocutaneous Fistulas Complicating Percutaneous Endoscopic Gastrostomy Tube Case Reports in Gastrointestinal Medicine |
| title | Endoscopic Repair of Gastrocolic and Colocutaneous Fistulas Complicating Percutaneous Endoscopic Gastrostomy Tube |
| title_full | Endoscopic Repair of Gastrocolic and Colocutaneous Fistulas Complicating Percutaneous Endoscopic Gastrostomy Tube |
| title_fullStr | Endoscopic Repair of Gastrocolic and Colocutaneous Fistulas Complicating Percutaneous Endoscopic Gastrostomy Tube |
| title_full_unstemmed | Endoscopic Repair of Gastrocolic and Colocutaneous Fistulas Complicating Percutaneous Endoscopic Gastrostomy Tube |
| title_short | Endoscopic Repair of Gastrocolic and Colocutaneous Fistulas Complicating Percutaneous Endoscopic Gastrostomy Tube |
| title_sort | endoscopic repair of gastrocolic and colocutaneous fistulas complicating percutaneous endoscopic gastrostomy tube |
| url | http://dx.doi.org/10.1155/2020/7262514 |
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