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Journal of Case Reports
Managing a Gastrocolocutaneous Fistula with Delayed Presentation after PEG Placement without Surgery
Kaveh Najafi1, Helen Markowski1, DJ Green1, Frank Bauer1, Bruce Davis1, Karen Lewandowski RN2, Shashvat M Desai2, John P Kepros1
1Department of Trauma, Acute Care Surgery and Surgical Critical Care, HonorHealth Scottsdale Osborn, Scottsdale, AZ; 2Honor Health Research Institute, Honor Health Scottsdale Osborn, Scottsdale, AZ.
Corresponding Author:
Dr Kaveh Najafi
Email: knajafi@honorhealth.com
Received: 14-APR-2022 Accepted: 18-JAN-2023 Published Online: 25-JAN-2023
DOI: http://dx.doi.org/10.17659/01.2023.0003
Background: This case report describes the successful non-surgical management of a gastrocolocutaneous fistula that developed following percutaneous endoscopic gastrostomy (PEG) placement. Case Report: The patient presented several months after the procedure with abdominal pain and discharge from the PEG site. Imaging revealed a fistula between the stomach and colon, which was managed conservatively with PEG site care, bowel rest, and antibiotics. The patient's symptoms gradually improved over several weeks, and follow-up imaging showed resolution of the fistula. Conclusion: This case demonstrates that non-operative management can be a viable option for select patients with delayed gastrocolocutaneous fistulas after PEG placement.
Keywords : Abdominal Pain, Endoscope, Gastrostomy, Postoperative Complication, Ventilator.
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