Cologastric fistula and colonic perforation as a complication of percutaneous endoscopic gastrostomy.
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.
Kinoshita
Y
Y
Department of Surgery, Toranomon Hospital, Tokyo, Japan.
Udagawa
H
H
Kajiyama
Y
Y
Tsutsumi
K
K
Ueno
M
M
Nakamura
T
T
Watanabe
G
G
Akiyama
H
H
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