Abstract

JIMENEZ VARO, Ignacio et al. Gastrocolic fistula as a complication of percutaneous feeding gastrostomy: description of three cases and review of the literature. Nutr. Hosp. [online]. 2014, vol.29, n.2, pp.460-463. ISSN 1699-5198.  https://dx.doi.org/10.3305/nh.2014.29.2.7073.

Introduction: Percutaneous gastrostomy, is the procedure of choice to provide enteral access in patients requiring nutritional support in this way in the long run, relegating the surgical gastrostomy. Material and methods: We present three patients requiring percutaneous gastrostomy for nutritional support. In two cases was performed endoscopic gastrostomy and another one using interventional radiology. Results: While performing percutaneous gastrostomy clinical incidents were not detected, but when trying the replacement of gastrostomy tubes, showed the presence of gastrocolic fistula that caused failure or turnover in one case, or abdominal pain and diarrhea in the two other cases. Discussion: Despite being a safe technique, should be done a proper patient selection in order to minimize the potential complications that may occur, as gastrocolic fistula, recommending in doubtful cases test of image such CT (computerized Tomography).

Keywords : Gastrocolic fistula; Enteral nutrition; Percutaneous gastrostomy complications.

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