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

Author:

Pugliese Maria Elena1,Battaglia Riccardo1,Cerasa Antonio123ORCID,Lucca Lucia Francesca1

Affiliation:

1. Severe Acquired Brain Injury Unit, S’Anna Institute, 88900 Crotone, Italy

2. Institute for Biomedical Research and Innovation (IRIB), National Research Council of Italy (CNR), 98164 Messina, Italy

3. Pharmacotechnology Documentation and Transfer Unit, Preclinical and Translational Pharmacology, Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036 Rende, Italy

Abstract

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.

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference10 articles.

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3. ESPEN Guideline ESPEN Guideline on Home Enteral Nutrition;Bischoff;ESPEN Guidel.,2020

4. Complications of percutaneous endoscopic gastrostomy;Hucl;Best Pract. Res. Clin. Gastroenterol.,2016

5. Gastrocolic fistula as a complication of percutaneous endoscopic gastrostomy;Pitsinis;Eur. J. Clin. Nutr.,2003

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