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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Format: | Article |
Language: | English |
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Taylor & Francis Group
2017-01-01
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Series: | Cogent Medicine |
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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. |
first_indexed | 2024-04-12T02:06:57Z |
format | Article |
id | doaj.art-66a5f925207748279a4b640833f7cd8c |
institution | Directory Open Access Journal |
issn | 2331-205X |
language | English |
last_indexed | 2024-04-12T02:06:57Z |
publishDate | 2017-01-01 |
publisher | Taylor & Francis Group |
record_format | Article |
series | Cogent Medicine |
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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