Endoscopic glue injection with application of hemostatic clips: a novel method of closing a gastro colonic fistula after PEG tube complication

Gastrocolonic fistula after percutaneous endoscopic gastrostomy (PEG tube) placement is an uncommon but a serious complication of the procedure. These fistulous tracts are often fibrotic and require surgical intervention if the spontaneous closure fails. We describe development of gastroclonic fistu...

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Bibliographic Details
Published in:	Nigerian journal of medicine Vol. 20; no. 1; pp. 163 - 165
Main Authors:	Alsayari, Khalid, Masoodi, Ibrahim
Format:	Journal Article
Language:	English
Published:	Nigeria 01-01-2011
Subjects:	Aged Colonic Diseases - surgery Endoscopy - methods Enteral Nutrition - adverse effects Enteral Nutrition - methods Follow-Up Studies Gastrectomy Gastric Fistula - etiology Gastric Fistula - surgery Gastrostomy - adverse effects Hemostasis Humans Injections Intubation, Gastrointestinal - adverse effects Male Postoperative Complications Surgical Instruments Tissue Adhesives - therapeutic use Treatment Outcome
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Summary:	Gastrocolonic fistula after percutaneous endoscopic gastrostomy (PEG tube) placement is an uncommon but a serious complication of the procedure. These fistulous tracts are often fibrotic and require surgical intervention if the spontaneous closure fails. We describe development of gastroclonic fistula in an old man who presented with history of post feeding diarrhea of 2 weeks duration three months after placement of PEG tube. Successful closure of fistulous tract was documented after local glue injection and hemostatic clips without any complication obviating need of surgery. The patient is on our follow-up for last 8 months now.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1115-2613