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Cologastric fistula as a complication of percutaneous endoscopic gastrostomy

M M Stefan1, G W Holcomb, A J Ross

  • 1Department of Surgery, Children's Hospital of Philadelphia, Pennsylvania 19104.

JPEN. Journal of Parenteral and Enteral Nutrition
|September 1, 1989
PubMed

Insights

A rare cologastric fistula complication following percutaneous endoscopic gastrostomy (PEG) occurred in two pediatric patients. Technical adjustments during PEG placement may prevent this serious gastrointestinal issue.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Surgery
  • Endoscopic Procedures

Background:

  • Percutaneous endoscopic gastrostomy (PEG) is a common procedure for enteral nutrition and decompression.
  • Complications, though rare, can arise from PEG placement.
  • Cologastric fistula is an infrequent but serious complication.

Observation:

  • Two pediatric cases of cologastric fistula following PEG placement were recently identified.
  • One fistula persisted even after the gastrostomy tube was removed.

Findings:

  • A specific mechanism for the development of cologastric fistula post-PEG in these pediatric cases is proposed.
  • Technical aspects of PEG placement are highlighted as crucial for preventing this rare complication.

Implications:

  • Understanding the proposed mechanism can guide preventative measures during PEG procedures in children.
  • Awareness of this rare complication is important for pediatricians and surgeons performing PEG.

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