[Gastrocolic fistula as a complication of percutaneous feeding gastrostomy, description of three cases and review of the literature].

نویسندگان

  • Ignacio Jiménez Varo
  • Noelia Gros Herguido
  • Juana Parejo Campos
  • Dolores Tatay Domínguez
  • José Luis Pereira Cunill
  • Pilar Serrano Aguayo
  • María Socas Macías
  • Pedro Pablo García-Luna
چکیده

INTRODUCTION Percutaneous gastrostomy, is the procedure of choice to provide enteral access in patients requiring nutritional support in this way in the long run, relegating the surgical gastrostomy. MATERIAL AND METHODS We present three patients requiring percutaneous gastrostomy for nutritional support. In two cases was performed endoscopic gastrostomy and another one using interventional radiology. RESULTS While performing percutaneous gastrostomy clinical incidents were not detected, but when trying the replacement of gastrostomy tubes, showed the presence of gastrocolic fistula that caused failure or turnover in one case, or abdominal pain and diarrhea in the two other cases. DISCUSSION Despite being a safe technique, should be done a proper patient selection in order to minimize the potential complications that may occur, as gastrocolic fistula, recommending in doubtful cases test of image such CT (computerized Tomography).

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Study of Percutaneous Endoscopic Gastrostomy Outcomes

Background and Objective: Percutaneous endoscopic gastrostomy (PEG) is the technique of choice for providing enteral access to patients who require long-term enteral nutrition. This study was performed to evaluate the outcomes and complications of PEG. Materials and Methods: In this semi-experimental study, 77 patients (45 men, 32 women; age mean: 58.9±19.7 years, Min: 14 years, Max: 89 Years)...

متن کامل

بررسی عوارض گاسترستومی آندوسکوپیک از راه پوست در بیمارستان حضرت رسول اکرم(ص) در طی یک سال

 Background: Percutaneous Endoscopic Gastrostomy (PEG) is the standard method for enteral feeding in patients predicted to require long-term enteral nutrition because of dysphagia. The aim of this study was to assess the complications of percutaneous endoscopic gastrostomy performed using the pull technique. Methods: Between January 2011 and December 2011, 74 patients underwent percuta...

متن کامل

A novel silk suture-assisted laparoscopic technique for the repair of a gastrocolic fistula in a pediatric patient

Percutaneous placement of gastrostomy was first described in 1980. Since then it has become widely used in pediatric surgery throughout the world. Inherent in the technique is the possibility of inadvertent damage to adjacent anatomical structures, most commonly the transverse colon. Management previously had involved laparotomy and correction of the gastrocolic fistula. Here we describe a nove...

متن کامل

Migration of a percutaneous endoscopic gastrostomy tube into the transverse colon: a forgotten cause of refractory diarrhea.

cutaneous endoscopic gastrostomy (PEG) tube inserted for palliation of dysphagia due to a large, epiphrenic esophageal diverticulum. After PEG feeding for 1 month, he complained of persistent, disabling diarrhea. Potential infective or organic causeswere excluded after extensive negative investigations and feeding regimen adjustment. An esophagogastroduodenoscopy (EGD) incidentally performed fo...

متن کامل

Duodenal Perforation: Unusual Complication of Gastrostomy Tube Replacement

Feeding gastrostomy is widely used for children with feeding impairment. The replacement of gastrostomy tube is known as an easy and safe procedure. However, various complications associated with replacement of gastrostomy tube were reported, including fistula disruption and colo-cutaneous fistula. For replacement of gastrostomy tube in small children with small stomach, special cautions are ne...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Nutricion hospitalaria

دوره 29 2  شماره 

صفحات  -

تاریخ انتشار 2014