Colon injury and gastrocolocutaneous fistula complication of percutaneous endoscopic gastrostomy
Abstract 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 gastr...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-03-01
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| Series: | JGH Open |
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| Online Access: | https://doi.org/10.1002/jgh3.12715 |
| _version_ | 1818315573956706304 |
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| author | Pedro Luis Imbeth‐Acosta María Cristina Martínez‐Ávila Mario Andrés Pineda Paternina Zulay Margarita Mondol Almeida Kevin Llanos Almario Alejandro de JesúsBlanquicett Diaz Kelly Carolina Meza Gamarra |
| author_facet | Pedro Luis Imbeth‐Acosta María Cristina Martínez‐Ávila Mario Andrés Pineda Paternina Zulay Margarita Mondol Almeida Kevin Llanos Almario Alejandro de JesúsBlanquicett Diaz Kelly Carolina Meza Gamarra |
| author_sort | Pedro Luis Imbeth‐Acosta |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-13T09:07:41Z |
| format | Article |
| id | doaj.art-03c5dc4815a549beadc5ef88794baac0 |
| institution | Directory Open Access Journal |
| issn | 2397-9070 |
| language | English |
| last_indexed | 2024-12-13T09:07:41Z |
| publishDate | 2022-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | JGH Open |
| spelling | doaj.art-03c5dc4815a549beadc5ef88794baac02022-12-21T23:53:02ZengWileyJGH Open2397-90702022-03-016321922110.1002/jgh3.12715Colon injury and gastrocolocutaneous fistula complication of percutaneous endoscopic gastrostomyPedro Luis Imbeth‐Acosta0María Cristina Martínez‐Ávila1Mario Andrés Pineda Paternina2Zulay Margarita Mondol Almeida3Kevin Llanos Almario4Alejandro de JesúsBlanquicett Diaz5Kelly Carolina Meza Gamarra6Department of Gastroenterology, Division of Digestive Care and Endoscopy Nuevo Hospital Bocagrande Cartagena ColombiaDepartment of Epidemiology and Preventive Medicine Nuevo Hospital Bocagrande Cartagena ColombiaDepartment of Internal Medicine Universidad del Sinú Cartagena ColombiaDepartment of Internal Medicine Universidad del Sinú Cartagena ColombiaDepartment of Internal Medicine Universidad del Sinú Cartagena ColombiaDepartment of General Surgery Corporación Universitaria Rafael Núñez Cartagena ColombiaDepartment of Emergency Medicine Nuevo Hospital Bocagrande Cartagena ColombiaAbstract 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.https://doi.org/10.1002/jgh3.12715colon injurycomplication of treatmentfistulaegastrocolocutaneous fistulagastrostomy feedingmanagement |
| spellingShingle | Pedro Luis Imbeth‐Acosta María Cristina Martínez‐Ávila Mario Andrés Pineda Paternina Zulay Margarita Mondol Almeida Kevin Llanos Almario Alejandro de JesúsBlanquicett Diaz Kelly Carolina Meza Gamarra Colon injury and gastrocolocutaneous fistula complication of percutaneous endoscopic gastrostomy JGH Open colon injury complication of treatment fistulae gastrocolocutaneous fistula gastrostomy feeding management |
| title | Colon injury and gastrocolocutaneous fistula complication of percutaneous endoscopic gastrostomy |
| title_full | Colon injury and gastrocolocutaneous fistula complication of percutaneous endoscopic gastrostomy |
| title_fullStr | Colon injury and gastrocolocutaneous fistula complication of percutaneous endoscopic gastrostomy |
| title_full_unstemmed | Colon injury and gastrocolocutaneous fistula complication of percutaneous endoscopic gastrostomy |
| title_short | Colon injury and gastrocolocutaneous fistula complication of percutaneous endoscopic gastrostomy |
| title_sort | colon injury and gastrocolocutaneous fistula complication of percutaneous endoscopic gastrostomy |
| topic | colon injury complication of treatment fistulae gastrocolocutaneous fistula gastrostomy feeding management |
| url | https://doi.org/10.1002/jgh3.12715 |
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