Successful treatment of an iatrogenic gastro-colo-cutaneous fistula in a patient with Chilaiditi syndrome: A case report

Chilaiditi syndrome is an occasional radiographic anomaly characterized by the interposition of the bowels between the liver and the diaphragm. The presence of Chilaiditi syndrome can cause serious problem on percutaneous endoscopic gastrostomy (PEG) procedure, because the anomalous position of the...

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Main Authors: Shutaro Gunji, Hokahiro Katayama, Shigehiro Morikawa
Format: Article
Language:English
Published: Taylor & Francis Group 2017-01-01
Series:Cogent Medicine
Subjects:
Online Access:http://dx.doi.org/10.1080/2331205X.2017.1331600
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author Shutaro Gunji
Hokahiro Katayama
Shigehiro Morikawa
author_facet Shutaro Gunji
Hokahiro Katayama
Shigehiro Morikawa
author_sort Shutaro Gunji
collection DOAJ
description Chilaiditi syndrome is an occasional radiographic anomaly characterized by the interposition of the bowels between the liver and the diaphragm. The presence of Chilaiditi syndrome can cause serious problem on percutaneous endoscopic gastrostomy (PEG) procedure, because the anomalous position of the transverse colon can obstruct the procedure and might lead to occurrence of complications. Our report describes a PEG-induced gastro-colo-cutaneous fistula in a patient with Chilaiditi syndrome which resulted in minimally invasive laparoscopic gastrostomy. As most patients who need a PEG placement have impaired consciousness, the majority of PEG-related complications are overlooked or discovered long after the procedure. However, we recognized the complication immediately after the PEG procedure and successfully treated by laparoscopic surgery.
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spelling doaj.art-66a5f925207748279a4b640833f7cd8c2022-12-22T03:52:31ZengTaylor & Francis GroupCogent Medicine2331-205X2017-01-014110.1080/2331205X.2017.13316001331600Successful treatment of an iatrogenic gastro-colo-cutaneous fistula in a patient with Chilaiditi syndrome: A case reportShutaro Gunji0Hokahiro Katayama1Shigehiro Morikawa2Shojukai Kyowa HospitalShojukai Kyowa HospitalShojukai Kyowa HospitalChilaiditi syndrome is an occasional radiographic anomaly characterized by the interposition of the bowels between the liver and the diaphragm. The presence of Chilaiditi syndrome can cause serious problem on percutaneous endoscopic gastrostomy (PEG) procedure, because the anomalous position of the transverse colon can obstruct the procedure and might lead to occurrence of complications. Our report describes a PEG-induced gastro-colo-cutaneous fistula in a patient with Chilaiditi syndrome which resulted in minimally invasive laparoscopic gastrostomy. As most patients who need a PEG placement have impaired consciousness, the majority of PEG-related complications are overlooked or discovered long after the procedure. However, we recognized the complication immediately after the PEG procedure and successfully treated by laparoscopic surgery.http://dx.doi.org/10.1080/2331205X.2017.1331600pegchilaiditi syndromelaparoscopic surgeryiatrogenic complication
spellingShingle Shutaro Gunji
Hokahiro Katayama
Shigehiro Morikawa
Successful treatment of an iatrogenic gastro-colo-cutaneous fistula in a patient with Chilaiditi syndrome: A case report
Cogent Medicine
peg
chilaiditi syndrome
laparoscopic surgery
iatrogenic complication
title Successful treatment of an iatrogenic gastro-colo-cutaneous fistula in a patient with Chilaiditi syndrome: A case report
title_full Successful treatment of an iatrogenic gastro-colo-cutaneous fistula in a patient with Chilaiditi syndrome: A case report
title_fullStr Successful treatment of an iatrogenic gastro-colo-cutaneous fistula in a patient with Chilaiditi syndrome: A case report
title_full_unstemmed Successful treatment of an iatrogenic gastro-colo-cutaneous fistula in a patient with Chilaiditi syndrome: A case report
title_short Successful treatment of an iatrogenic gastro-colo-cutaneous fistula in a patient with Chilaiditi syndrome: A case report
title_sort successful treatment of an iatrogenic gastro colo cutaneous fistula in a patient with chilaiditi syndrome a case report
topic peg
chilaiditi syndrome
laparoscopic surgery
iatrogenic complication
url http://dx.doi.org/10.1080/2331205X.2017.1331600
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AT shigehiromorikawa successfultreatmentofaniatrogenicgastrocolocutaneousfistulainapatientwithchilaiditisyndromeacasereport