Year 2019 / Volume 111 / Number 12
Letter
The one that got away: a rare complication after PEG tube placement

975

DOI: 10.17235/reed.2019.6426/2019

Tiago Leal, Dalila Costa, Raquel Gonçalves,

Abstract
A 74 year-old male patient was admitted to the emergency department due to diarrhea of a one-month duration. The patient had 5 to 7 bowel movements/day of liquid stool, without blood or mucus. He had also undergone a percutaneous endoscopic gastrostomy (PEG) tube placement 10 weeks previously due to post-stroke dysphagia, with endoscopic confirmation of its correct positioning. A course of antibiotics had already been prescribed and there was no improvement of the symptoms.
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References
1- Lenzen H, Weismuller T, Bredt M et al. Education and imaging. Gastrointestinal: PEG feeding tube migration into the colon; a late manifestation. J Gastroenterol Hepatol. 2012;27:1254. doi: 10.1111/j.1440-1746.2012.07157.x.
2- Joo YJ, Koo JH, Song SH. Gastrocolic fistula as a cause of persistent diarrhea in a patient with a gastrostomy tube. Arch Phys Med Rehabil. 2010;91:1790–1792. doi: 10.1016/j.apmr.2010.07.224.
3- Huang SY, Levine MS, Raper SE. Gastrocolic fistula with migration of feeding tube into transverse colon as a complication of percutaneous endoscopic gastrostomy. AJR Am J Roentgenol. 2005;184:S65–S66. DOI: 10.2214/ajr.184.3_supplement.01840s65
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Leal T, Costa D, Gonçalves R. The one that got away: a rare complication after PEG tube placement. 6426/2019


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Publication history

Received: 03/06/2019

Accepted: 03/07/2019

Online First: 15/11/2019

Published: 05/12/2019

Article Online First time: 165 days

Article editing time: 185 days


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