title: Cologastric fistula and colonic perforation as a complication of percutaneous endoscopic gastrostomy.
abstract: Cologastric fistula has rarely been reported as a complication of percutaneous endoscopic gastrostomy (PEG). We encountered a patient in whom this problem went unrecognized for 2 years. After the initial PEG tube was changed, the second PEG tube was advanced into the colon, causing severe diarrhea. When a third PEG tube was inserted, acute peritonitis occurred because of colonic perforation. We discuss the mechanism of this complication and technical points related to its prevention.
authors.affiliation: Department of Surgery, Toranomon Hospital, Tokyo, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Kinoshita
authors.forename: H
authors.initials: H
authors.lastname: Udagawa
authors.forename: Y
authors.initials: Y
authors.lastname: Kajiyama
authors.forename: K
authors.initials: K
authors.lastname: Tsutsumi
authors.forename: M
authors.initials: M
authors.lastname: Ueno
authors.forename: T
authors.initials: T
authors.lastname: Nakamura
authors.forename: G
authors.initials: G
authors.lastname: Watanabe
authors.forename: H
authors.initials: H
authors.lastname: Akiyama
mesh_terms: D000368:Aged; D003108:Colonic Diseases / Q000209:etiology*; D005747:Gastric Fistula / Q000209:etiology*; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D007416:Intestinal Perforation / Q000209:etiology*; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D008297:Male