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KMID : 0359020120450010095
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Korean Journal of Gastrointestinal Endoscopy
2012 Volume.45 No. 1 p.95 ~ p.98
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A Case of Endoscopic Treatment for Gastrocolocutaneous Fistula as a Complication of Percutaneous Endoscopic Gastrostomy
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Hwan Jong-Ho
Kim Hyung-Wook
Kang Dae-Hwan
Choi Cheol-Woong
Park Soo-Bum
Park Tae-Ik
Jo Woo-Sung
Cha Dong-Hyuk
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Abstract
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As a rare complication of percutaneous endoscopic gastroscopy (PEG), a gastrocolocutaneous fistula may occur after PEG placement. This paper reports an interesting case which PEG tube unintentionally penetrated transverse colon during PEG. A 72-year-old female patient who suffered from medullary infarction underwent PEG procedure for enteral nutrition, and fecal materials were observed 6 days after the procedure. Transverse colon located in antero-superior site of stomach was observed through abdominal computed tomography, and also the wrong inserted tube was found through gastroscopy and colonoscopy. Endoscopic treatment for the fistula was performed by the use of hemo-clip and detachable snare, closure of the fistula was finally confirmed 6 days after the endoscopic procedure. Therefore, the gastrocolocutaneous fistula should be considered as one of the complications of PEG when fecal material is observed through PEG tube in a few days after PEG procedure and endoscopic treatment can be feasible in this case.
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KEYWORD
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Percutaneous endoscopic gastrostomy, Gastrocolocutaneous fistula
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