title: Endoscopic glue injection with application of hemostatic clips: a novel method of closing a gastro colonic fistula after PEG tube complication.
abstract: Gastrocolonic fistula after percutaneous endoscopic gastrostomy (PEG tube) placement is an uncommon but a serious complication of the procedure. These fistulous tracts are often fibrotic and require surgical intervention if the spontaneous closure fails. We describe development of gastroclonic fistula in an old man who presented with history of post feeding diarrhea of 2 weeks duration three months after placement of PEG tube. Successful closure of fistulous tract was documented after local glue injection and hemostatic clips without any complication obviating need of surgery. The patient is on our follow-up for last 8 months now.
authors.affiliation: Dept. of Gastroenterology, King Fahad Medical City, Riyadh, Saudi Arabia. kalsayari@kfmc.med.sa
authors.forename: Khalid
authors.initials: K
authors.lastname: Alsayari
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Masoodi
mesh_terms: D000368:Aged; D003108:Colonic Diseases / Q000601:surgery*; D004724:Endoscopy / Q000379:methods; D004750:Enteral Nutrition / Q000009:adverse effects / Q000379:methods; D005500:Follow-Up Studies; D005743:Gastrectomy; D005747:Gastric Fistula / Q000209:etiology / Q000601:surgery*; D005774:Gastrostomy / Q000009:adverse effects*; D006487:Hemostasis; D006801:Humans; D007267:Injections; D007441:Intubation, Gastrointestinal / Q000009:adverse effects; D008297:Male; D011183:Postoperative Complications; D013525:Surgical Instruments; D014014:Tissue Adhesives / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D014014:Tissue Adhesives