Cologastric fistula and colonic perforation as a complication of percutaneous endoscopic gastrostomy

Authors
Kinoshita, Y Udagawa, H Kajiyama, Y Tsutsumi, K Ueno, M Nakamura, T Watanabe, G Akiyama, H
Citation
Y. Kinoshita et al., Cologastric fistula and colonic perforation as a complication of percutaneous endoscopic gastrostomy, SURG LA E P, 9(3), 1999, pp. 220-222
Citations number
8
Categorie Soggetti
Surgery
Journal title
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
ISSN journal
10517200 → ACNP
Volume
9
Issue
3
Year of publication
1999
Pages
220 - 222
Database
ISI
SICI code
1051-7200(199906)9:3<220:CFACPA>2.0.ZU;2-P
Abstract
Cologastric fistula has rarely been reported as a complication of percutane ous endoscopic gastrostomy (PEC). We encountered a patient in whom this pro blem went unrecognized for 2 years. After the initial PEC tube was changed, the second PEG tube was advanced into the colon, causing severe diarrhea. When a third PEG tube was inserted, acute peritonitis occurred because of c olonic perforation. We discuss the mechanism of this complication and techn ical points related to its prevention.