An unexpected cause of transient diarrhea.
Migration of percutaneous endoscopic gastrostomy (PEG) tube to colon with gastro-colonic-cutaneous fistula formation is a rare complication of the procedure. Transient episodic diarrhea following each PEG tube feeding is typical of this complication. We present a 72-year-old man with cerebrovascular disease and scoliosis who encountered episodes of transient diarrhea after each PEG tube feeding. His diarrhea was refractory to medications. Colonoscopy demonstrated a mal-positioned PEG in the transverse colon. Computed tomogram (CT) of abdomen further confirmed the finding. After removal of the migrated PEG, his diarrhea had ceased completely. The gastro-colonic-cutaneous fistula was further managed with endoscopic clipping method with no complications encountered during follow up.
a Division of Gastroenterology and Hepatology, Department of Internal Medicine , Kaohsiung Veterans General Hospital , Kaohsiung , Taiwan.|b Division of Gastroenterology and Hepatology, Department of Internal Medicine , Ping Tung Christian Hospital , Ping Tung , Taiwan.
Yoen Young
YY
Chuah
c Department of Medicine, School of Medical Sciences , Universiti Sains Malaysia , Kubang Kerian , Kelantan , Malaysia.
Yeong Yeh
YY
Lee
a Division of Gastroenterology and Hepatology, Department of Internal Medicine , Kaohsiung Veterans General Hospital , Kaohsiung , Taiwan.
Tzung Jiun
TJ
Tsai
D000368:Aged; D003106:Colon; D003113:Colonoscopy; D003967:Diarrhea / Q000209:etiology*; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging* / Q000628:therapy*; D005774:Gastrostomy / Q000295:instrumentation*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed
Diarrhea; cerebrovascular disease; malposition; percutaneous endoscopic gastrostomy