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KMID : 0614620140630020120
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Korean Journal of Gastroenterology
2014 Volume.63 No. 2 p.120 ~ p.124
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Two Cases of Uncommon Complication during Percutaneous Endoscopic Gastrostomy Tube Replacement and Treatment
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Lee Hyun-Joo
Choung Rok-Seon
Park Min-Seon
Pyo Jeung-Hui
Kim Seung-Young
Hyun Jong-Jin
Koo Ja-Seol
Lee Sang-Woo
Choi Jai-Hyun
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Abstract
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We presented two interesting cases of gastrocolocutaneous fistula that occurred after percutaneous endoscopic gastrostomy (PEG) tube placement, and its management. This fistula is a rare complication that occurs after PEG insertion, which is an epithelial connection between mucosa of the stomach, colon, and skin. The management of the fistula is controversial, ranging from conservative to surgical intervention. Endoscopists should be aware of the possibility of gastrocolocutaneous fistula after PEG insertion, and should evaluate the risk factors that may contribute to the development of gastrocolocutaneous fistula before the procedure. We reviewed complications of gastrostomy tube insertion, symptoms of gastrocolocutaneous fistula, and its risk factors.
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KEYWORD
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Gastrostomy, Complication, Fistula
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