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Gastrocolic fistula as a complication of percutaneous endoscopic gastrostomy

European Journal of Clinical Nutrition volume 57, pages 876–878 (2003)Cite this article

Percutaneous endoscopic gastrostomy (PEG) is a method commonly used for providing long-term nutrition for patients unable to swallow but with a functioning gastrointestinal tract (Stefan et al, 1989). The most common reasons for use of a PEG are neurological (such as cerebrovascular accident), and oropharygeal disorders. There are however many other indications which include: anorexia/cachexia, recurrent aspiration, oesophageal stricture, and many malignancies (Larson et al, 1987).

Before 1980, creation of a gastrostomy required a surgical approach. Development of PEG has eliminated all three of these requirements (Stiegmannn et al., 1988). First, Ponsky et al in 1980 and then Russel et al in 1984 developed practical and cost-effective endoscopic techniques. Ponsky et al passed the feeding tube in a retrograde fashion through the mouth after having created a tract via a medicut under direct endoscopy (the pull method, Gauderer et al, 1980). Russell et al used from outside the abdomen a pacemaker lead and introduced a Foley catheter and a peel-away sheath under endoscopic control (push method, Russell et al, 1984).

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Acknowledgements

The authors thank Miss Joanna Reed and Mr John Benson for his helpful comments on the manuscript.

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Authors and Affiliations

  1. Department of General Surgery, Hinchingbrooke Hospital, Huntingdon Cambs, UK

    V Pitsinis

  2. Department of General Medicine, Hinchingbrooke Hospital, Huntingdon Cambs, UK

    P Roberts

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  1. V Pitsinis
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  2. P Roberts
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Competing interests: None declared.

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Pitsinis, V., Roberts, P. Gastrocolic fistula as a complication of percutaneous endoscopic gastrostomy. Eur J Clin Nutr 57, 876–878 (2003). https://doi.org/10.1038/sj.ejcn.1601687

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