Gastrocolocutaneous fistula in a child with congenital short bowel syndrome: A rare complication of percutaneous endoscopic gastrostomy
Journal
Journal of the Formosan Medical Association
Journal Volume
103
Journal Issue
4
Pages
306-310
Date Issued
2004
Author(s)
Abstract
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 contrindication to PEG procedure. Open surgical gastrostomy is recommended for such patients.
SDGs
Other Subjects
abdominal surgery; article; case report; child nutrition; colon dilatation; colon fistula; convalescence; fever; gastrointestinal endoscopy; hospital discharge; human; laparotomy; male; parenteral nutrition; percutaneous endoscopic gastrostomy; preschool child; short bowel syndrome; skin fistula; stomach fistula; surgical technique; treatment contraindication; tube; colon disease; enteric feeding; gastrostomy; methodology; skin fistula; stomach fistula; Child, Preschool; Colonic Diseases; Cutaneous Fistula; Enteral Nutrition; Gastric Fistula; Gastrostomy; Humans; Male; Short Bowel Syndrome
Type
journal article