Abstract
Background:
Gastroenteric fistula occurs in 2% to 3% of patients undergoing percutaneous endoscopic gastrostomy (PEG). The authors identified 12 children with this major complication.
Methods:
A retrospective case note review was performed.
Results:
Over a 5-year period, the complication rate for gastroenteric fistula was 3.5% (12 of 343 procedures). Presentation ranged from 1 day to 25 months post-PEG insertion. Eight patients presented with acute intestinal obstruction. The gastroenteric fistulous tract involved the posterior wall of the stomach in all cases. The plain abdominal x-ray was useful in establishing the diagnosis of the gastroenteric fistula.
Conclusions:
Patients with gastroenteric fistula as a complication of PEG insertion can remain asymptomatic for prolonged periods. It often is difficult to make the diagnosis. A plain abdominal x-ray is a useful diagnostic modality.
MeSH terms
-
Cerebral Palsy / complications
-
Child
-
Child, Preschool
-
Colonic Diseases / diagnostic imaging
-
Colonic Diseases / epidemiology*
-
Colonic Diseases / etiology
-
Colonic Diseases / surgery
-
Deglutition Disorders / etiology
-
Deglutition Disorders / therapy
-
Failure to Thrive / etiology
-
Failure to Thrive / therapy
-
Female
-
Gastric Fistula / diagnostic imaging
-
Gastric Fistula / epidemiology*
-
Gastric Fistula / etiology
-
Gastric Fistula / surgery
-
Gastroscopy*
-
Gastrostomy*
-
Humans
-
Infant
-
Intestinal Fistula / diagnostic imaging
-
Intestinal Fistula / epidemiology*
-
Intestinal Fistula / etiology
-
Intestinal Fistula / surgery
-
Intestinal Obstruction / epidemiology
-
Intestinal Obstruction / etiology
-
Male
-
Postoperative Complications / diagnostic imaging
-
Postoperative Complications / epidemiology*
-
Postoperative Complications / etiology
-
Postoperative Complications / surgery
-
Radiography
-
Retrospective Studies