%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 }