title: A case of endoscopic treatment for gastrocolocutaneous fistula as a complication of percutaneous endoscopic gastrostomy.
abstract: As a rare complication of percutaneous endoscopic gastroscopy (PEG), a gastrocolocutaneous fistula may occur after PEG placement. This paper reports an interesting case which PEG tube unintentionally penetrated transverse colon during PEG. A 72-year-old female patient who suffered from medullary infarction underwent PEG procedure for enteral nutrition, and fecal materials were observed 6 days after the procedure. Transverse colon located in antero-superior site of stomach was observed through abdominal computed tomography, and also the wrong inserted tube was found through gastroscopy and colonoscopy. Endoscopic treatment for the fistula was performed by the use of hemo-clip and detachable snare, closure of the fistula was finally confirmed 6 days after the endoscopic procedure. Therefore, the gastrocolocutaneous fistula should be considered as one of the complications of PEG when fecal material is observed through PEG tube in a few days after PEG procedure and endoscopic treatment can be feasible in this case.
authors: Department of Internal Medicine, Pusan National University School of Medicine, Yangsan, Korea.
authors: Jong Ho
authors: JH
authors: Hwang
authors: Hyung Wook
authors: HW
authors: Kim
authors: Dae Hwan
authors: DH
authors: Kang
authors: Choel Woong
authors: CW
authors: Choi
authors: Soo Bum
authors: SB
authors: Park
authors: Tae Ik
authors: TI
authors: Park
authors: Woo Sung
authors: WS
authors: Jo
authors: Dong Hyuk
authors: DH
authors: Cha