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KMID : 0931320130130020128
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대한상부위장관.헬리코박터학회지
2013 Volume.13 No. 2 p.128 ~ p.131
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Endoscopic Management for Colocutaneous Fistula as a Complication of Percutaneous Endoscopic Gastrostomy
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Jung Tae-Young
Lee Jeong-Rok
Seok Dong-Keun
Kee Sae-Yoon
Ko Soon-Young
Wang Joon-Ho
Lee Jae-Dong
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Abstract
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Percutaneous endoscopic gastrostomy (PEG) has become a safe and effective technique for enteral feeding. Colocutaneous fistula, which is a rare complication of PEG, is thought to be formed during insertion of the original PEG tube when the colon becomes interposed between the stomach and the abdominal wall. We present a patient who developed colocutaneous fistula after PEG tube exchange. Three years ago, a PEG tube for enteral feeding was placed in a 27-year-old male with cerebral palsy and severe scoliosis. Two months after PEG tube exchange, he was admitted to our hospital because fecal material was observed in the tube and exit site. The diagnosis of colocutaneous fistula was made after injection of gastrografin in the fistula opening of the abdominal wall. Endoscopic management for the fistula opening of the colon was successfully performed using metal-clips and we were able to avoid surgical therapy for the fistula.
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KEYWORD
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Percutaneous endoscopic gastrostomy, Colocutaneous fistula
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