title: Two cases of uncommon complication during percutaneous endoscopic gastrostomy tube replacement and treatment.
abstract: We presented two interesting cases of gastrocolocutaneous fistula that occurred after percutaneous endoscopic gastrostomy (PEG) tube placement, and its management. This fistula is a rare complication that occurs after PEG insertion, which is an epithelial connection between mucosa of the stomach, colon, and skin. The management of the fistula is controversial, ranging from conservative to surgical intervention. Endoscopists should be aware of the possibility of gastrocolocutaneous fistula after PEG insertion, and should evaluate the risk factors that may contribute to the development of gastrocolocutaneous fistula before the procedure. We reviewed complications of gastrostomy tube insertion, symptoms of gastrocolocutaneous fistula, and its risk factors.
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Ansan Hospital, 123 Jeokgeumro, Danwon-gu, Ansan 425-707, Korea.
authors.forename: Hyun Joo
authors.initials: HJ
authors.lastname: Lee
authors.forename: Rok Seon
authors.initials: RS
authors.lastname: Choung
authors.forename: Min Seon
authors.initials: MS
authors.lastname: Park
authors.forename: Jeung Hui
authors.initials: JH
authors.lastname: Pyo
authors.forename: Seung Young
authors.initials: SY
authors.lastname: Kim
authors.forename: Jong Jin
authors.initials: JJ
authors.lastname: Hyun
authors.forename: Sung Woo
authors.initials: SW
authors.lastname: Jung
authors.forename: Ja Seol
authors.initials: JS
authors.lastname: Koo
authors.forename: Sang Woo
authors.initials: SW
authors.lastname: Lee
authors.forename: Jai Hyun
authors.initials: JH
authors.lastname: Choi
mesh_terms: D000368:Aged; D002544:Cerebral Infarction / Q000175:diagnosis; D016154:Digestive System Fistula / Q000209:etiology*; D016099:Endoscopy, Gastrointestinal; D004750:Enteral Nutrition / Q000009:adverse effects* / Q000295:instrumentation; D005774:Gastrostomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000175:diagnosis; D012307:Risk Factors; D014057:Tomography, X-Ray Computed