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Two Cases of Uncommon Complication during Percutaneous Endoscopic Gastrostomy Tube Replacement and Treatment
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ÀÌÇöÁÖ(Lee Hyun-Joo) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç ¼Òȱ⳻°ú
Á¤·Ï¼±(Choung Rok-Seon) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç ¼Òȱ⳻°ú
¹Ú¹Î¼±(Park Min-Seon) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç ¼Òȱ⳻°ú
Ç¥Á¤Èñ(Pyo Jeung-Hui) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç ¼Òȱ⳻°ú
±è½Â¿µ(Kim Seung-Young) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç ¼Òȱ⳻°ú
ÇöÁ¾Áø(Hyun Jong-Jin) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç ¼Òȱ⳻°ú
±¸ÀÚ¼³(Koo Ja-Seol) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç ¼Òȱ⳻°ú
ÀÌ»ó¿ì(Lee Sang-Woo) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç ¼Òȱ⳻°ú
ÃÖÀçÇö(Choi Jai-Hyun) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç ¼Òȱ⳻°ú
Abstract
We presented two interesting cases of gastrocolocutaneous fistula that occurred after percutaneous endoscopic gastrostomy (PEG) tube placement, and its management. This fistula is a rare complication that occurs after PEG insertion, which is an epithelial connection between mucosa of the stomach, colon, and skin. The management of the fistula is controversial, ranging from conservative to surgical intervention. Endoscopists should be aware of the possibility of gastrocolocutaneous fistula after PEG insertion, and should evaluate the risk factors that may contribute to the development of gastrocolocutaneous fistula before the procedure. We reviewed complications of gastrostomy tube insertion, symptoms of gastrocolocutaneous fistula, and its risk factors.
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Gastrostomy, Complication, Fistula
KMID :
0614620140630020120
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