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.
%0 Journal Article
%1 Patwardhan2004
%A Patwardhan, Nitin
%A McHugh, Kieran
%A Drake, David
%A Spitz, Lewis
%D 2004
%J J Pediatr Surg
%K Cerebral Palsy; Child; Child, Preschool; Colonic Diseases; Deglutition Disorders; Failure to Thrive; Female; Gastric Fistula; Gastroscopy; Gastrostomy; Humans; Infant; Intestinal Obstruction; Male; Postoperative Complicati; Retrospective Studies; ons
%N 4
%P 561--564
%T Gastroenteric fistula complicating percutaneous endoscopic gastrostomy.
%V 39
%X 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.
@article{Patwardhan2004,
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.},
added-at = {2014-07-19T20:59:42.000+0200},
author = {Patwardhan, Nitin and McHugh, Kieran and Drake, David and Spitz, Lewis},
biburl = {https://www.bibsonomy.org/bibtex/277e81535be96f653ebf6a3d582450878/ar0berts},
groups = {public},
interhash = {96053485b4235cce5fbef71e6c5e9062},
intrahash = {77e81535be96f653ebf6a3d582450878},
journal = {J Pediatr Surg},
keywords = {Cerebral Palsy; Child; Child, Preschool; Colonic Diseases; Deglutition Disorders; Failure to Thrive; Female; Gastric Fistula; Gastroscopy; Gastrostomy; Humans; Infant; Intestinal Obstruction; Male; Postoperative Complicati; Retrospective Studies; ons},
month = Apr,
number = 4,
pages = {561--564},
pii = {S0022346803009394},
pmid = {15065028},
timestamp = {2014-07-19T20:59:42.000+0200},
title = {Gastroenteric fistula complicating percutaneous endoscopic gastrostomy.},
username = {ar0berts},
volume = 39,
year = 2004
}