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KMID : 0361420110350060954
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Journal of Korean Academy of Rehabilitation Medicine
2011 Volume.35 No. 6 p.954 ~ p.957
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A Nasogastric Tube Inserted into the Gastrocutaneous Fistula
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Kim Yang-Soo
Kim Joon-Sung
Yu In-Hee
Jeong Ji-Young
Jung Sung-Hee
Jo Yil-Ryun
Chung Myung-Eun
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Abstract
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We reported a case in which a nasogastric tube was inserted into the gastrocutaneous fistula, diagnosed by abdominal computed tomography. A 78-year-old man with a history of recurrent cerebral hemorrhage had a percutaneous endoscopic gastrostomy tube due to dysphagia for 2 years. However, soft tissue infection at the gastrostomy site caused the removal of the tube. Immediately, antibiotic agents were infused. For appropriate hydration and medication, a nasogastric tube was inserted. However, there was no significant improvement of the soft tissue infection. Moreover, the amount of bloody exudate increased. Abdominal computed tomography revealed the nasogastric tube placed under the patient’s skin via gastrocutaneous fistula. The nasogastric tube was removed, and an antibiotic agents were maintained. After 3 weeks, the signs of infection fully improved, and percutaneous endoscopic gastrostomy was performed again. Th is case shows necessities of an appropriate interval between removal of the gastrostomy tube and insertion of a nasogastric tube, and suspicion of existence of gastrocutaneous fistula.
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KEYWORD
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Gastrocutaneous fi stula, Percutaneous endoscopic gastrostomy, Nasogastric tube
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