Gastro-Colo-Cutaneous Fistula Occurring After Percutaneous Endoscopic Gastrostomy Procedure
An 82-year-old man diagnosed with supraglottic cancer sought a consultation for percutaneous endoscopic gastrostomy (PEG) placement. Preoperative chest radiography (posterior-anterior [PA] view) revealed no abnormalities, and PEG tube placement was performed using the “pull” method. Chest radiograph...
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| Format: | Article |
| Language: | English |
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Korean College of Helicobacter and Upper Gastrointestinal Research
2024-03-01
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| Series: | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
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| Online Access: | http://helicojournal.org/upload/pdf/kjhugr-2023-0060.pdf |
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| _version_ | 1849251501652836352 |
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| author | Juyung Joung Jeeyeon Baek Sun Hyung Kang Hee Seok Moon Jae Kyu Sung Hwan Jung Yun |
| author_facet | Juyung Joung Jeeyeon Baek Sun Hyung Kang Hee Seok Moon Jae Kyu Sung Hwan Jung Yun |
| author_sort | Juyung Joung |
| collection | DOAJ |
| description | An 82-year-old man diagnosed with supraglottic cancer sought a consultation for percutaneous endoscopic gastrostomy (PEG) placement. Preoperative chest radiography (posterior-anterior [PA] view) revealed no abnormalities, and PEG tube placement was performed using the “pull” method. Chest radiography (PA view) performed 3 days postoperatively showed free air that was not observed immediately after PEG tube placement; therefore, the patient was diagnosed with pneumoperitoneum. Abdominal computed tomography confirmed that the PEG tube was appropriately positioned within the stomach; however, the colon was observed between the abdominal wall and stomach, which indicated that the PEG tube had passed through the colon. Review of preoperative chest radiographs (PA views) confirmed that the colon was visualized in the area wherein usually stomach gas should have been observed. The patient was diagnosed with a gastro-colo-cutaneous fistula that occurred postoperatively, following a procedure that was performed without confirmation of anatomical variations. The PEG tube was removed surgically, and we performed percutaneous gastrostomy. |
| format | Article |
| id | doaj-art-780c1cc3ad744fcc954542e2921dedb2 |
| institution | Kabale University |
| issn | 1738-3331 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Korean College of Helicobacter and Upper Gastrointestinal Research |
| record_format | Article |
| series | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
| spelling | doaj-art-780c1cc3ad744fcc954542e2921dedb22025-08-20T03:56:55ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312024-03-01241727610.7704/kjhugr.2023.0060825Gastro-Colo-Cutaneous Fistula Occurring After Percutaneous Endoscopic Gastrostomy ProcedureJuyung Joung0Jeeyeon Baek1Sun Hyung KangHee Seok Moon2Jae Kyu Sung3Hwan Jung Yun4Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, KoreaDepartment of Internal Medicine, Chungnam National University College of Medicine, Daejeon, KoreaDepartment of Internal Medicine, Chungnam National University College of Medicine, Daejeon, KoreaDepartment of Internal Medicine, Chungnam National University College of Medicine, Daejeon, KoreaDepartment of Internal Medicine, Chungnam National University College of Medicine, Daejeon, KoreaAn 82-year-old man diagnosed with supraglottic cancer sought a consultation for percutaneous endoscopic gastrostomy (PEG) placement. Preoperative chest radiography (posterior-anterior [PA] view) revealed no abnormalities, and PEG tube placement was performed using the “pull” method. Chest radiography (PA view) performed 3 days postoperatively showed free air that was not observed immediately after PEG tube placement; therefore, the patient was diagnosed with pneumoperitoneum. Abdominal computed tomography confirmed that the PEG tube was appropriately positioned within the stomach; however, the colon was observed between the abdominal wall and stomach, which indicated that the PEG tube had passed through the colon. Review of preoperative chest radiographs (PA views) confirmed that the colon was visualized in the area wherein usually stomach gas should have been observed. The patient was diagnosed with a gastro-colo-cutaneous fistula that occurred postoperatively, following a procedure that was performed without confirmation of anatomical variations. The PEG tube was removed surgically, and we performed percutaneous gastrostomy.http://helicojournal.org/upload/pdf/kjhugr-2023-0060.pdfpercutaneous endoscopic gastrostomycomplicationfistula |
| spellingShingle | Juyung Joung Jeeyeon Baek Sun Hyung Kang Hee Seok Moon Jae Kyu Sung Hwan Jung Yun Gastro-Colo-Cutaneous Fistula Occurring After Percutaneous Endoscopic Gastrostomy Procedure The Korean Journal of Helicobacter and Upper Gastrointestinal Research percutaneous endoscopic gastrostomy complication fistula |
| title | Gastro-Colo-Cutaneous Fistula Occurring After Percutaneous Endoscopic Gastrostomy Procedure |
| title_full | Gastro-Colo-Cutaneous Fistula Occurring After Percutaneous Endoscopic Gastrostomy Procedure |
| title_fullStr | Gastro-Colo-Cutaneous Fistula Occurring After Percutaneous Endoscopic Gastrostomy Procedure |
| title_full_unstemmed | Gastro-Colo-Cutaneous Fistula Occurring After Percutaneous Endoscopic Gastrostomy Procedure |
| title_short | Gastro-Colo-Cutaneous Fistula Occurring After Percutaneous Endoscopic Gastrostomy Procedure |
| title_sort | gastro colo cutaneous fistula occurring after percutaneous endoscopic gastrostomy procedure |
| topic | percutaneous endoscopic gastrostomy complication fistula |
| url | http://helicojournal.org/upload/pdf/kjhugr-2023-0060.pdf |
| work_keys_str_mv | AT juyungjoung gastrocolocutaneousfistulaoccurringafterpercutaneousendoscopicgastrostomyprocedure AT jeeyeonbaek gastrocolocutaneousfistulaoccurringafterpercutaneousendoscopicgastrostomyprocedure AT sunhyungkang gastrocolocutaneousfistulaoccurringafterpercutaneousendoscopicgastrostomyprocedure AT heeseokmoon gastrocolocutaneousfistulaoccurringafterpercutaneousendoscopicgastrostomyprocedure AT jaekyusung gastrocolocutaneousfistulaoccurringafterpercutaneousendoscopicgastrostomyprocedure AT hwanjungyun gastrocolocutaneousfistulaoccurringafterpercutaneousendoscopicgastrostomyprocedure |