Chen Y.YEN-HSUAN NIHONG-SHIEE LAI2020-02-242020-02-2420040929-6646https://www.scopus.com/inward/record.uri?eid=2-s2.0-3342984093&partnerID=40&md5=d475ebaf4ddfcac6f9068f6ae180ec38https://scholars.lib.ntu.edu.tw/handle/123456789/462491Gastrocolocutaneous 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]SDG3abdominal 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 Syndromejournal article151758282-s2.0-3342984093