Document Detail

Gastrocolocutaneous fistula in a child with congenital short bowel syndrome: a rare complication of percutaneous endoscopic gastrostomy.
MedLine Citation:
PMID:  15175828     Owner:  NLM     Status:  MEDLINE    
Gastrocolocutaneous fistula is a rare major complication of percutaneous endoscopic gastrostomy (PEG). We report a case of this complication in a 2-year-old boy with congenital short bowel syndrome with dilated bowel loops who underwent PEG insertion. Fever developed and stool-like substance was discharged from the gastrostomy tube 1 year later. Further upper gastrointestinal study and panendoscopy revealed a gastrocolonic and colocutaneous fistula. He underwent laparotomy to close the fistula. The recovery was uneventful and he was discharged 10 days after surgery. This case suggests that a previous history of abdominal surgery or dilated bowel loops should be a relative contraindication to PEG procedure. Open surgical gastrostomy is recommended for such patients.
Yun Chen; Yen-Hsuan Ni; Hong-Shiee Lai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Formosan Medical Association = Taiwan yi zhi     Volume:  103     ISSN:  0929-6646     ISO Abbreviation:  J. Formos. Med. Assoc.     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-06-03     Completed Date:  2004-08-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9214933     Medline TA:  J Formos Med Assoc     Country:  China (Republic: 1949- )    
Other Details:
Languages:  eng     Pagination:  306-10     Citation Subset:  IM    
Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
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MeSH Terms
Child, Preschool
Colonic Diseases / etiology*
Cutaneous Fistula / etiology*
Enteral Nutrition / adverse effects
Gastric Fistula / etiology*
Gastrostomy / adverse effects*,  methods
Short Bowel Syndrome / surgery*

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