Chonnam Med J.  2020 Jan;56(1):81-82. 10.4068/cmj.2020.56.1.81.

Gastrocolocutaneous Fistula Caused by Percutaneous Endoscopic Gastrostomy

• Kajihara Y
• Mizuki I

• KMID: 2468153
• DOI: http://doi.org/10.4068/cmj.2020.56.1.81

Abstract

No abstract available.

MeSH Terms

Fistula*
Gastrostomy*

Figure

• 

  FIG. 1 (A) Endoscopic view of the internal bumper correctly located inside the stomach. (B) Computed tomography revealing gastrocolic fistula (white arrow) and migration of the gastrostomy tube into the colon (white asterisk). (C) Endoscopic view of the fistula and the migrated internal bumper in the transverse colon (melanosis coli). (D) Successful removal of the migrated gastrostomy tube and closure of the gastrocolocutaneous fistula using over-the-scope-clip system (white arrow: gastrocolic fistula, white arrowhead: colocutaneous fistula).

• 

  FIG. 2 Confirmation of closure of the fistula on the gastric mucosa (A: gastroscopy, B: contrast radiography (white arrow)).

Reference

1. Okutani D, Kotani K, Makihara S. A case of gastrocolocutaneous fistula as a complication of percutaneous endoscopic gastrostomy. Acta Med Okayama. 2008; 62:135–138.

2. Croaker GDH, Najmaldin AS. Laparoscopically assisted percutaneous endoscopic gastrostomy. Pediatr Surg Int. 1997; 12:130–131.

3. Schrag SP, Sharma R, Jaik NP, Seamon MJ, Lukaszczyk JJ, Martin ND, et al. Complications related to percutaneous endoscopic gastrostomy (PEG) tubes. A comprehensive clinical review. J Gastrointestin Liver Dis. 2007; 16:407–418.

4. Nunes G, Oliveira G, Cortez-Pinto J, Cruz J, Fonseca J. Gastrocolocutaneous fistula: an undetected complication of colon transfixation during percutaneous endoscopic gastrostomy. Turk J Gastroenterol. 2019; 30:761–763.

5. Fukita Y, Katakura Y, Adachi S, Yasuda I, Asaki T, Toyomizu M, et al. Colonoscopy-assisted percutaneous endoscopic gastrostomy to avoid a gastrocolocutaneous fistula of the transverse colon. Endoscopy. 2014; 46 Suppl 1 UCTN:E60.