Feculent Drainage from Percutaneous Endoscopic Gastrostomy Tube due to Gastrocolocutaneous Fistula Found in Emergency Department: A Case Report
2024

Feculent Drainage from PEG Tube: A Case Report

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muchiutti Ivan BS, Samones Emmelyn J. BS, Phan Tammy BS, Barrett Emily MD

Primary Institution: Loma Linda University Medical Center

Hypothesis

What complications can arise from percutaneous endoscopic gastrostomy (PEG) placement?

Conclusion

Gastrocolocutaneous fistula should be considered in patients with unexpected PEG tube drainage or feeding-related complications.

Supporting Evidence

  • PEG placement is a common procedure for patients requiring non-oral feeding.
  • Gastrocolocutaneous fistula occurs when the bowel is caught between the stomach and abdominal wall during PEG placement.
  • Patients can present with symptoms like diarrhea, weight loss, and fecal leakage after PEG tube dislodgement.
  • Management of gastrocolocutaneous fistula is not standardized due to its rarity.

Takeaway

Sometimes, when a feeding tube is put in, it can cause a rare problem where poop leaks out instead of food. This report talks about one patient who had this issue.

Methodology

Case report of a 73-year-old male presenting with feculent drainage from a PEG tube, managed non-surgically.

Limitations

The rarity of gastrocolocutaneous fistula cases limits the standardization of management approaches.

Participant Demographics

73-year-old male on hospice care with a history of Alzheimer dementia.

Digital Object Identifier (DOI)

10.5811/cpcem.21286

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