PEG migration into colon as a cause of diarrhea
Percutaneous Endoscopic Gastrostomy (PEG) is increasingly being used in the pediatric population. We report a case of a 5-year-old boy who is fully PEG-fed that presented with a 2-day history of vomiting and diarrhea. His vomiting resolved however, the diarrhea remained persistent and watery with oc...
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Format: | Article |
Language: | English |
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Elsevier
2020-12-01
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Series: | Journal of Pediatric Surgery Case Reports |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576620303225 |
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author | Pei Sen Tee |
author_facet | Pei Sen Tee |
author_sort | Pei Sen Tee |
collection | DOAJ |
description | Percutaneous Endoscopic Gastrostomy (PEG) is increasingly being used in the pediatric population. We report a case of a 5-year-old boy who is fully PEG-fed that presented with a 2-day history of vomiting and diarrhea. His vomiting resolved however, the diarrhea remained persistent and watery with occasional undigested milk. His blood and stool investigation results were unremarkable however contrast study through the gastrostomy revealed migration of tube into the transverse colon. Laparoscopy was then performed for fistula resection and a new gastrostomy tube was inserted. Gastrostomy tube migration in children is not well-documented and this complication should be thought about when pediatricians are presented with a case of refractory diarrhea in PEG-fed patients. |
first_indexed | 2024-12-17T08:05:40Z |
format | Article |
id | doaj.art-bba0822a6f714e8ca2668dbfb71441e4 |
institution | Directory Open Access Journal |
issn | 2213-5766 |
language | English |
last_indexed | 2024-12-17T08:05:40Z |
publishDate | 2020-12-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Pediatric Surgery Case Reports |
spelling | doaj.art-bba0822a6f714e8ca2668dbfb71441e42022-12-21T21:57:24ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662020-12-0163101688PEG migration into colon as a cause of diarrheaPei Sen Tee0Department of Pediatrics, The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust, United KingdomPercutaneous Endoscopic Gastrostomy (PEG) is increasingly being used in the pediatric population. We report a case of a 5-year-old boy who is fully PEG-fed that presented with a 2-day history of vomiting and diarrhea. His vomiting resolved however, the diarrhea remained persistent and watery with occasional undigested milk. His blood and stool investigation results were unremarkable however contrast study through the gastrostomy revealed migration of tube into the transverse colon. Laparoscopy was then performed for fistula resection and a new gastrostomy tube was inserted. Gastrostomy tube migration in children is not well-documented and this complication should be thought about when pediatricians are presented with a case of refractory diarrhea in PEG-fed patients.http://www.sciencedirect.com/science/article/pii/S2213576620303225PEGDiarrhea |
spellingShingle | Pei Sen Tee PEG migration into colon as a cause of diarrhea Journal of Pediatric Surgery Case Reports PEG Diarrhea |
title | PEG migration into colon as a cause of diarrhea |
title_full | PEG migration into colon as a cause of diarrhea |
title_fullStr | PEG migration into colon as a cause of diarrhea |
title_full_unstemmed | PEG migration into colon as a cause of diarrhea |
title_short | PEG migration into colon as a cause of diarrhea |
title_sort | peg migration into colon as a cause of diarrhea |
topic | PEG Diarrhea |
url | http://www.sciencedirect.com/science/article/pii/S2213576620303225 |
work_keys_str_mv | AT peisentee pegmigrationintocolonasacauseofdiarrhea |