Clinical Endoscopy

  • 제51권2호
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  • Pages.196-200
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  • 2018
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
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Gastrocolocutaneous Fistula: An Unusual Case of Gastrostomy Tube Malfunction with Diarrhea

  • Lee, Junghwan (Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Jinyoung (Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Ha il (Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Oh, Chung Ryul (Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Choi, Sungim (Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Noh, Soomin (Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Na, Hee Kyong (Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Jung, Hwoon-Yong (Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center)
  • 투고 : 2017.04.25
  • 심사 : 2017.07.21
  • 발행 : 2018.03.30
⟨ 이전 논문 다음 논문 ⟩

초록

A gastrocolocutaneous fistula is a rare complication of percutaneous endoscopic gastrostomy (PEG). We report a case of a gastrocolocutaneous fistula presenting with intractable diarrhea and gastrostomy tube malfunction. A 62-year-old woman with a history of multiple system atrophy was referred to us because of PEG tube malfunction. Twenty days prior to presentation, the patient started developing sudden diarrhea within minutes after starting PEG feeding. Fluoroscopy revealed that the balloon of the PEG tube was located in the lumen of the transverse colon with the contrast material filling the colon. Subsequently, the PEG tube was removed and the opening of the gastric site was endoscopically closed using hemoclips. Clinicians should be aware of gastrocolocutaneous fistula as one of the complications of PEG insertion. Sudden onset of diarrhea, immediately after PEG feedings, might suggest this complication, which can be effectively treated with endoscopic closure.

키워드

참고문헌

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피인용 문헌

  1. Update on endoscopic enteral access vol.20, pp.4, 2018, https://doi.org/10.1016/j.tgie.2018.09.005
  2. Long-Term Gastrocolocutaneous Fistula after Endoscopic Gastrostomy: How Concerned Should We Be? vol.26, pp.6, 2018, https://doi.org/10.1159/000497248
  3. Complex gastro-colo-cutaneous fistula secondary to a gunshot injury, management and literature review vol.28, pp.None, 2018, https://doi.org/10.1016/j.tcr.2020.100313
  4. Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube Insertion vol.4, pp.4, 2020, https://doi.org/10.5811/cpcem.2020.7.48335