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Wandering Gastrostomy.

Naduthottam Palaniswami Kamalesh¹, Kurumboor Prakash¹, Ganesh Narayanan Ramesh¹

¹PVS Memorial Hospital, Kaloor, Kochi, Kerala 682017 India.

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Summary

This summary is machine-generated.

Percutaneous endoscopic gastrostomy (PEG) is a common procedure for nutritional support. This case highlights rare complications, including PEG tube migration into the transverse colon, necessitating surgical intervention.

Keywords:

Colocutaneous fistula Complications Migration of PEG tube Percutaneous endoscopic gastrostomy

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Area of Science:

Gastroenterology
Surgical Procedures

Background:

Percutaneous endoscopic gastrostomy (PEG) is a widely used procedure for nutritional support in patients with neurological deficits or gastrointestinal issues.
While generally safe, PEG placement can lead to various complications, including dislodgement, infection, and perforation.
Emergency physicians must be knowledgeable about potential PEG complications for timely and appropriate patient management.

Purpose of the Study:

To present a rare case of PEG tube migration into the transverse colon.
To emphasize the importance of recognizing and managing delayed PEG tube complications.

Main Methods:

Case report of a patient who underwent PEG tube placement following amniotic fluid embolism and cesarean section.
Description of initial PEG tube displacement and subsequent migration into the transverse colon.
Documentation of the diagnostic process and surgical intervention for PEG tube removal.

Main Results:

The patient experienced PEG tube displacement after initial placement.
The PEG tube subsequently migrated into the transverse colon.
Surgical removal of the migrated PEG tube was required.

Conclusions:

PEG tube migration is a rare but serious complication that can occur after placement.
Prompt recognition and management, including surgical intervention, are crucial for addressing such complications.
This case underscores the need for vigilance regarding potential delayed complications of PEG tubes.