Abstract
Joo YJ, Koo JH, Song SH. Gastrocolic fistula as a cause of persistent diarrhea in
a patient with a gastrostomy tube.
A 60-year-old man with a history of recurrent strokes secondary to moyamoya disease
underwent insertion of a percutaneous radiologic gastrostomy tube because of severe
dysphagia. Feeding was continued for 5 months after the procedure without complications.
Persistent diarrhea began 2 weeks after admission for comprehensive rehabilitation.
Conservative treatment was not effective. Sigmoidoscopy showed a U-shaped tube suggestive
of a gastrocolic fistula in the transverse colon. This was confirmed by means of a
tubogram obtained through a gastrostomy tube. The diarrhea resolved after changing
the gastrostomy tube. This case report highlights the importance of considering other
uncommon conditions, such as a gastrocolic fistula, in the differential diagnosis
of persistent diarrhea in a patient with a gastrostomy tube.
Key Words
List of Abbreviations:
CT (computed tomography), PEG (percutaneous endoscopic gastrostomy), PRG (percutaneous radiologic gastrostomy)To read this article in full you will need to make a payment
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Article info
Footnotes
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.
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© 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
