[Two rare complications of percutaneous endoscopic gastrostomy: obstruction of the pylorus and gastrocolic fistula occurring in one patient].
We report an 10 month old male infant, who developed an obstruction of the pylorus by dislocation of the retention disk 5 months after percutaneous endoscopic gastrostomy (PEG). This could be corrected under endoscopic control. Two years after PEG insertion diarrhoe occurred immediately after feeding caused by a gastrocolic fistula with dislocation of the retention disk in the colon transversum. An excision of the fistula and a resection of the colon segment were performed successfully.


CONCLUSIONS
In patients with PEG and unclear abdominal symptoms a tube dislocation has to be kept in mind at any time.
Naehrlich
L
L
Universitätsklinik für Kinder und Jugendliche, Abteilung für pädiatrische Gastroenterologie, Erlangen, Germany. lutz.naehrlich@kinder.imed.uni-erlangen.de
Carbon
R
R
Lang
T
T
Behrens
R
R
D003106:Colon; D003108:Colonic Diseases / Q000209:etiology*; D004868:Equipment Failure; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000209:etiology; D005747:Gastric Fistula / Q000209:etiology*; D005764:Gastroesophageal Reflux / Q000151:congenital* / Q000628:therapy; D005773:Gastroscopy / Q000009:adverse effects*; D005774:Gastrostomy / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D007223:Infant; D007412:Intestinal Fistula / Q000209:etiology*; D011707:Pyloric Stenosis / Q000209:etiology*; D013277:Stomach Volvulus / Q000151:congenital* / Q000628:therapy