Small bowel fistula: a complication of percutaneous endoscopic gastrostomy insertion.
A 22 year old man who sustained a severe closed head injury after a high speed motor car accident underwent routine placement of percutaneous endoscopic gastrostomy (PEG) for feeding purposes. Nine days after its insertion an enterocutaneous fistula was diagnosed around the PEG tube. A loop of mid-jejunum had been transfixed during the insertion of the PEG.
Evans
P M
PM
Alfred Hospital, Prahran, Victoria, Australia.
Serpell
J W
JW
D000063:Accidents, Traffic; D000328:Adult; D006259:Craniocerebral Trauma / Q000150:complications; D017577:Cutaneous Fistula / Q000209:etiology*; D004750:Enteral Nutrition / Q000295:instrumentation; D005773:Gastroscopy; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D007579:Jejunal Diseases / Q000209:etiology*; D008297:Male