A Rare Case of Severe Diarrhea: Gastrocolic Fistula Caused by Migration of Percutaneous Endoscopic Gastrostomy Tube

Gastrocolic fistula is a rare complication of the percutaneous endoscopic gastrostomy (PEG) placement procedure. This complication occurs due to penetration of interposed colon when a PEG tube is placed into the stomach. It can go unrecognized, becoming evident only when a tube replacement is perfor...

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Bibliographic Details
Published inHealthcare (Basel) Vol. 11; no. 9; p. 1263
Main Authors Pugliese, Maria Elena, Battaglia, Riccardo, Cerasa, Antonio, Lucca, Lucia Francesca
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 28.04.2023
MDPI
Subjects
Abdomen
Asymptomatic
Care and treatment
Case Report
Causes of
Colon
Colonoscopy
Complications and side effects
Diagnosis
Diarrhea
Electrolytes
Endoscopy
Enteral nutrition
Feces
Fistula
Laparotomy
Malnutrition
Medical imaging
Ostomy
Patients
PEG
Percutaneous endoscopic gastrostomy
Peritonitis
severe diarrhea
Stomach
traumatic brain injury
Vomiting
Italy
traumatic brain injury
PEG
percutaneous endoscopic gastrostomy
severe diarrhea
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Summary:Gastrocolic fistula is a rare complication of the percutaneous endoscopic gastrostomy (PEG) placement procedure. This complication occurs due to penetration of interposed colon when a PEG tube is placed into the stomach. It can go unrecognized, becoming evident only when a tube replacement is performed or tube migration occurs. We report a case of severe, intractable diarrhea occurring about one month after the PEG procedure in a patient with severe traumatic brain injury. We present our case and discuss its significance with the aim of raising clinicians' awareness of this rare condition.
ISSN:2227-9032
2227-9032
DOI:10.3390/healthcare11091263