Indolent complication after percutaneous endoscopic gastrostomy: a case report of gastric fistula  

作　　者：Anand Gourishankar 

机构地区：[1]Department of Pediatrics,Pediatric Hospital Medicine,Children's National Medical Center,Washington,District of Columbia,USA

出　　处：《World Journal of Pediatric Surgery》2020年第3期37-38,共2页世界小儿外科杂志（英文）

摘　　要：An adolescent patient developed vomiting 1 month after percutaneous endoscopic gastrostomy(PEG)insertion.A gastrostomy-tube contrast study confirmed the gastrocolic fistula.The gastrocolic fistula,a rare complication,should be considered in high-risk patients.After the first PEG tube insertion by Dr Gauderer in 1979,1 advances in the technique,use in adults and development of different types of tubes have helped various types of patients.Failure rates are similar between laparoscopic(0.5%)and PEG(0.9%)proce-dures;the later had a higher risk of complica-tions of visceral injury and mechanical issues.2 Similar results were reported in a heteroge-neous group of patients.3 However,PEG showed no differences in mortality or infec-tion compared with percutaneous radiologic gastrostomy.4 Complications are inherent with any procedure;awareness of immediate and late complications of PEG insertion is vital.We discuss here a case pertinent to quiescent late(≥2 weeks)complication.

关 键 词：gastro FISTULA COMPLICATION 

分 类 号：R726.5[医药卫生—儿科]