| Endoscopic Management for Colocutaneous Fistula as a Complication of Percutaneous Endoscopic Gastrostomy |
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Tae Young Jung, Jeong Rok Lee, Dong Keun Seok, Sae Yoon Kee, Soon Young Ko, Joon Ho Wang, Jae Dong Lee |
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Department of Internal Medicine, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, Korea. flyingbass93@gmail.com |
| 경피 내시경하 위루술 후 발생한 결장피부루에 대한 내시경적 치료 |
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정태영, 이정록, 석동근, 기세윤, 고순영, 왕준호, 이재동 |
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건국대학교 의학전문대학원 충주병원 내과학교실 |
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| Abstract |
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Percutaneous endoscopic gastrostomy (PEG) has become a safe and effective technique for enteral feeding. Colocutaneous fistula, which is a rare complication of PEG, is thought to be formed during insertion of the original PEG tube when the colon becomes interposed between the stomach and the abdominal wall. We present a patient who developed colocutaneous fistula after PEG tube exchange. Three years ago, a PEG tube for enteral feeding was placed in a 27-year-old male with cerebral palsy and severe scoliosis. Two months after PEG tube exchange, he was admitted to our hospital because fecal material was observed in the tube and exit site. The diagnosis of colocutaneous fistula was made after injection of gastrografin in the fistula opening of the abdominal wall. Endoscopic management for the fistula opening of the colon was successfully performed using metal-clips and we were able to avoid surgical therapy for the fistula. |
| Key Words:
Percutaneous endoscopic gastrostomy; Colocutaneous fistula |
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