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Japanese

Gastrocolic fistula : A complication of percutaneous endoscopic gastrostomy Makoto YOSHIDA 1 , Masahiro ISHIGOOKA 1 , Motoya KASHIYAMA 1 , Shin-ichi MATSUGE 1 , Hideaki KAWASHIMA 1 1Department of Surgery, Kin-i-Kyou Chuo Hospital Keyword: 経皮内視鏡的胃瘻造設術 , 胃結腸瘻 , 腹腔鏡下手術 pp.75-79
Published Date 2007/2/15
DOI https://doi.org/10.11477/mf.4426100015
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 An 81-year-old male patient with cerebral infarction and disuse syndrome underwent insertion of a percutaneous endoscopic gastrostomy (PEG) because of eating disorder in 2002. The surgery was performed under general anesthesia because sedation was difficult. Nine months after PEG insertion, replacement of a new gastrostomy button was performed using the endoscope. Because exchanging the button was difficult, we used a guide wire to insert a new one. The patient was referred to our hospital because of watery diarrhea and stool-like fluid coming out from the gastrostomy button. The abdominal CT scan showed that the button was dislocated from the stomach. The radiographic contrast from the gastrostomy and enema showed a gastrocolic fistula. Conservative therapy did not improve the patient's condition, thus laparoscopic surgery was performed. The fistulous tracts were resected with the auto-suturing device and laparoscopic-assisted PEG was performed. Post operative course was uneventful. It is necessary to prevent serious complications such as puncturing other organs when performing PEG. Moreover, laparoscopic surgery was useful for gastrocolic fistula that occurred as a complication of PEG.


Copyright © 2007, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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