scholarly journals Cutaneous gastrocolic fistula as a complication of percutaneous endoscopic gastrostomy

Author(s):  
Pedro Imbeth-Acosta ◽  
Mario Pineda ◽  
Zulay Mondol-Almeida ◽  
Alejandro Blanquicett ◽  
Kevin Llanos-Almario ◽  
...  

Gastrocolic fistulas represent a serious but rare complication of Percutaneous endoscopic gastrostomy (PEG). A 90-year-old male with multiple comorbidities and high preoperative risk develops one. He was successfully treated with expectant management.

2018 ◽  
Vol 5 (7) ◽  
pp. 2653
Author(s):  
Anand Kishore

Gastrocolic fistula is a rare complication which is seen after percutaneous endoscopic gastrostomy (PEG). It usually manifest as a late complication. Interesting fact is that gastrocolic fistula is formed during the initial insertion of PEG tube itself but goes unrecognized. It becomes evident only when a tube replacement is done or when tube dislodgement occurs. We report a case where gastrocolic fistula was recognized after 1 month of tube feeding. Aim of our case report is to make clinicians aware of this rare condition and to have high clinical suspicion regarding possible complications of PEG even after a long period of uncomplicated feeding.


2016 ◽  
Vol 10 (2) ◽  
pp. 224-232 ◽  
Author(s):  
Ibrahim Afifi ◽  
Ahmad Zarour ◽  
Ammar Al-Hassani ◽  
Ruben Peralta ◽  
Ayman El-Menyar ◽  
...  

Buried bumper syndrome (BBS) is a rare complication developed after percutaneous endoscopic gastrostomy (PEG). We report a case of a 38-year-old male patient who sustained severe traumatic brain injury that was complicated with early BBS after PEG tube insertion. On admission, bedside PEG was performed, and 7 days later the patient developed signs of sepsis with rapid progression to septic shock and acute kidney injury. Abdominal CT scan revealed no collection or leakage of the contrast, but showed malpositioning of the tube bumper at the edge of the stomach and not inside of it. Diagnostic endoscopy revealed that the bumper was hidden in the posterolateral part of the stomach wall forming a tract inside of it, which confirmed the diagnosis of BBS. The patient underwent laparotomy with a repair of the stomach wall perforation, and the early postoperative course was uneventful. Acute BBS is a rare complication of PEG tube insertion which could be manifested with severe complications such as pressure necrosis, peritonitis and septic shock. Early identification is the mainstay to prevent such complications. Treatment selection is primarily guided by the presenting complications, ranging from simple endoscopic replacement to surgical laparotomy.


Author(s):  
Waka Yanagisawa ◽  
Daniel Oh ◽  
Dinushi Perera ◽  
Sebastian Rodrigues

Percutaneous endoscopic gastrostomy (PEG) tube is a common procedure. This discusses the rare complication of acute pancreatitis, due to tube migration, causing obstruction of the ampulla of Vater. Radiological confirmation of tubes prior to usage may aid in preventing this reversible complication.


2017 ◽  
Vol 01 (01) ◽  
pp. 045-047
Author(s):  
Sucharita Das ◽  
Muralidhar Kanchi ◽  
Uday Khanolkar

AbstractSeldinger's technique is frequently used for percutaneous vascular access. This technique has been used for several years successfully for placement of cannulae/catheters into the arterial or venous system without the need for cut-down and with minimal trauma to surrounding structures. In fact, this technique has been adapted to introduce angiography catheters, chest tubes, cricothyroidotomy, tracheostomy, percutaneous endoscopic gastrostomy, etc. Though inherently safe, this technique may be associated with several complications and guidewire-related complication that may be potentially serious, though rare.


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