Conversion of Percutaneous Endoscopic Gastrostomy to Gastrojejunostomy Under Fluoroscopic Guidance for Treatment of Gastrocutaneous Fistula
Annals of Rehabilitation Medicine
;
: 133-137, 2015.
Article
in English
| WPRIM
| ID: wpr-11513
ABSTRACT
Persistent enterocutaneous fistula after the removal of a gastrostomy tube is an unusual complication of percutaneous endoscopic gastrostomy (PEG). The following case report describes an 81-year-old man diagnosed with stroke and dysphagia in May 2008. The patient had been using a PEG since 2008, and PEG site infection occurred in June 2013. The PEG tube was removed and a new PEG tube was inserted. Thereafter, formation of gastrocutaneous fistula around the previous infected PEG site was observed. The fistula was refractory to medical management, accompanied by long duration of fasting and peripheral alimentation. Therefore, gastrojejunostomy tube insertion via the previously inserted PEG tube was performed, under fluoroscopic guidance; this mode of management was successful. For patients who have a gastrocutaneous fistula, gastrojejunostomy tube insertion via the pre-existing PEG tube is a safe and effective alternative management for enteral feeding.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Jejunostomy
/
Gastrostomy
/
Gastric Bypass
/
Deglutition Disorders
/
Fasting
/
Intestinal Fistula
/
Enteral Nutrition
/
Stroke
/
Fistula
Type of study:
Practice guideline
Limits:
Aged
/
Aged80
/
Humans
Language:
English
Journal:
Annals of Rehabilitation Medicine
Year:
2015
Type:
Article
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