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...

Full description

Bibliographic Details
Main Author: Pei Sen Tee
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576620303225
_version_ 1823944076797411328
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