Cologastric fistula as a complication of percutaneous endoscopic gastrostomy.
Percutaneous endoscopic gastrostomy (PEG) is frequently used for long-term enteral nutrition or gastrointestinal decompression in both adults and children. The rare complication of a cologastric fistula following PEG has been seen recently in two pediatric patients. One fistula did not close after removal of the gastrostomy tube. A mechanism for the occurrence of this complication in these two children is proposed and technical points are emphasized to prevent this complication.
Stefan
M M
MM
Department of Surgery, Children's Hospital of Philadelphia, Pennsylvania 19104.
Holcomb
G W
GW
Ross
A J
AJ
D002675:Child, Preschool; D003108:Colonic Diseases / Q000209:etiology*; D004724:Endoscopy / Q000009:adverse effects*; D005260:Female; D005747:Gastric Fistula / Q000209:etiology*; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D007223:Infant; D007412:Intestinal Fistula / Q000209:etiology*