Two Cases of Uncommon Complication during Percutaneous Endoscopic Gastrostomy Tube Replacement and Treatment

Hyun Joo Lee; Rok Seon Choung; Min Seon Park; Jeung Hui Pyo; Seung Young Kim; Jong Jin Hyun; Sung Woo Jung; Ja Seol Koo; Sang Woo Lee; Jai Hyun Choi

doi:10.4166/kjg.2014.63.2.120

Journal List > Korean J Gastroenterol > v.63(2) > 1007196

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Lee, Choung, Park, Pyo, Kim, Hyun, Jung, Koo, Lee, and Choi: Two Cases of Uncommon Complication during Percutaneous Endoscopic Gastrostomy Tube Replacement and Treatment

Case Report

Korean J Gastroenterol 2014;63(2):120-124.

Published online: 4 October 2014

DOI: https://doi.org/10.4166/kjg.2014.63.2.120

Two Cases of Uncommon Complication during Percutaneous Endoscopic Gastrostomy Tube Replacement and Treatment

Hyun Joo Lee, Rok Seon Choung, Min Seon Park, Jeung Hui Pyo, Seung Young Kim, Jong Jin Hyun, Sung Woo Jung, Ja Seol Koo, Sang Woo Lee, Jai Hyun Choi

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea

Correspondence to: Rok Seon Choung, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Ansan Hospital, 123 Jeokgeum- ro, Danwon-gu, Ansan 425-707, Korea. Tel: +82-31-412-5580, Fax: +82-31-412-5582, E-mail: crsdr@korea.ac.kr

Received 29 April 201310 June 2013 Accepted 27 June 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We presented two interesting cases of gastrocolocutaneous fistula that occurred after percutaneous endoscopic gastrostomy (PEG) tube placement, and its management. This fistula is a rare complication that occurs after PEG insertion, which is an epithelial connection between mucosa of the stomach, colon, and skin. The management of the fistula is controversial, ranging from conservative to surgical intervention. Endoscopists should be aware of the possibility of gastrocolocutaneous fistula after PEG insertion, and should evaluate the risk factors that may contribute to the development of gastrocolocutaneous fistula before the procedure. We reviewed complications of gastrostomy tube insertion, symptoms of gastrocolocutaneous fistula, and its risk factors.

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Keywords: Gastrostomy, Complication, Fistula

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