Two Cases of Uncommon Complication during Percutaneous Endoscopic Gastrostomy Tube Replacement and Treatment

• Published in: The Korean Journal of Gastroenterology Vol. 63; no. 2; pp. 120 - 124
• Main Authors: Lee, Hyun Joo, Choung, Rok Seon, Park, Min Seon, Pyo, Jeung Hui, Kim, Seung Young, Hyun, Jong Jin, Jung, Sung Woo, Koo, Ja Seol, Lee, Sang Woo, Choi, Jai Hyun
• Format: Journal Article
• Language: English; Japanese
• Published: The Korean Society of Gastroenterology 2014; 대한소화기학회
• Subjects: Aged; Cerebral Infarction; Digestive System Fistula; Endoscopy, Gastrointestinal; Enteral Nutrition; Gastrostomy; Humans; Male; Middle Aged; Nervous System Diseases; Risk Factors; Tomography, X-Ray Computed; 내과학
• ISSN: 1598-9992; 2233-6869
• DOI: 10.4166/kjg.2014.63.2.120

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. KCI Citation Count: 2