Journal of

Case Reports and Images in Surgery

 
     
Case Report
 
Surgical approach to a delayed presentation of gastrocolocutaneous fistula following percutaneous endoscopic gastrostomy
Srikanth Parsi1, Gustavo Franco1, Viney Setya1
1MD, Department of Surgery, St Agnes Hospital, Baltimore, MD United States.

Article ID: 100035Z12SP2016
doi:10.5348/Z12-2016-35-CR-27

Address correspondence to:
Srikanth Parsi
97 Ashland Avenue, Apt 3 a
Bala Cynwyd
Pennsylvania, 19004

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How to cite this article:
Parsi S, Franco G, Setya V. Surgical approach to a delayed presentation of gastrocolocutaneous fistula following percutaneous endoscopic gastrostomy. J Case Rep Images Surg 2016;2:105–108.


Abstract
Introduction: Gastrocolocutaneous fistula is a rare complication of percutaneous endoscopic gastrostomy tube placement that can present early at the time of insertion or late due to misplacement of gastrostomy tube through colon. It is suspected if there is profuse diarrhea after each tube feed, feculent drainage through or around the gastrostomy tube.
Case Report: We report a rare case of gastrocolocutaneous fistula after two years of percutaneous gastrostomy tube insertion which was managed by surgical excision of fistula.
Conclusion: Adherence to safety measures by the healthcare professionals at the time of gastrostomy tube insertion helps in preventing gastrocolocutaneous fistula.

Keywords: Gastrocolocutaneous fistula, Percutaneous endoscopic gastrostomy, Surgical approach


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Author Contributions
Srikanth Parsi – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Gustavo Franco – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Viney Setya – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Srikanth Parsi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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