Open AccessColon injury and gastrocolocutaneous fistula complication of percutaneous endoscopic gastrostomy
Author(s) -
ImbethAcosta Pedro Luis,
MartínezÁvila María Cristina,
Pineda Paternina Mario Andrés,
Mondol Almeida Zulay Margarita,
Llanos Almario Kevin,
Blanquicett Diaz Alejandro,
Meza Gamarra Kelly Carolina
Publication year - 2022
Publication title -
jgh open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.546
H-Index - 8
ISSN - 2397-9070
DOI - 10.1002/jgh3.12715
Subject(s) - medicine , percutaneous endoscopic gastrostomy , complication , fistula , swallowing , surgery , gastrostomy , enteral administration , peg ratio , stoma (medicine) , colonoscopy , percutaneous , transverse colon , endoscopy , parenteral nutrition , colorectal cancer , cancer , finance , economics
Percutaneous endoscopic gastrostomy (PEG) insertion is an effective endoscopic procedure for enteral feeding in patients with difficulty swallowing. Many postprocedural complications have been reported after the PEG procedure. The displacement of the transverse colon over the anterior gastric wall can predispose the patient to colonic injury and fistulae during PEG placement. Gastrocolonic fistulas represent a serious but rare complication post PEG placement. We report a 90 year old man with a background of multiple comorbidities and high preoperative risk who developed a gastrocolocutaneous fistula post PEG placement due to a colonic injury. He was successfully treated with nonoperative management.