Surgical approach to a delayed presentation of gastrocolocutaneous fistula following percutaneous endoscopic gastrostomy

Introduction: Gastrocolocutaneous fistula is a rare complication of percutaneous endoscopic gastrostomy tube placement that can present early at the time of insertion or late due to misplacement of gastrostomy tube through colon. It is suspected if there is profuse diarrhea after each tube feed, feculent drainage through or around the gastrostomy tube. Case Report: We report a rare case of gastrocolocutaneous fistula after two years of percutaneous gastrostomy tube insertion which was managed by surgical excision of fistula. Conclusion: Adherence to safety measures by the healthcare professionals at the time of gastrostomy tube insertion helps in preventing gastrocolocutaneous fistula.