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Gastrojejunal fistula after insertion of percutaneous endoscopic gastrostomy
R Kubiak1, D T Wilcox, L Spitz
1Department of Paediatric Surgery, Great Ormond Street Hospital for Children NHS Trust, London, England.
Journal of Pediatric Surgery
|August 31, 1999
Insights
A percutaneous endoscopic gastrostomy tube migrated in a boy with cystic fibrosis, creating a gastrojejunal fistula. This rare complication highlights the importance of monitoring feeding tube placement in pediatric patients.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Surgery
Background:
- Cystic Fibrosis (CF) management often requires nutritional support via gastrostomy tubes.
- Percutaneous endoscopic gastrostomy (PEG) is a common method for enteral feeding in pediatric patients.
Observation:
- A 12-year-old male patient with a history of cystic fibrosis presented with an unusual complication.
- The patient's PEG device was found to have migrated from the stomach into the jejunum.
Findings:
- The migration of the PEG device resulted in the formation of a gastrojejunal fistula.
- This case represents a rare but significant complication of PEG tube placement in a pediatric CF patient.
Implications:
- This case underscores the need for vigilance in monitoring PEG tube position in pediatric patients, especially those with underlying conditions like cystic fibrosis.
- Understanding and preventing such migrations are crucial for maintaining effective nutritional support and avoiding further complications in CF care.
Abstract:
The authors report the case of a 12-year-old boy with cystic fibrosis, in whom a percutaneous endoscopic gastrostomy device migrated into the jejunum, forming a gastrojejunal fistula.