title: Cologastric fistula as a complication of percutaneous endoscopic gastrostomy.
abstract: 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.
authors.affiliation: Department of Surgery, Children's Hospital of Philadelphia, Pennsylvania 19104.
authors.forename: M M
authors.initials: MM
authors.lastname: Stefan
authors.forename: G W
authors.initials: GW
authors.lastname: Holcomb
authors.forename: A J
authors.initials: AJ
authors.lastname: Ross
mesh_terms: 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*