AI Article Synopsis
- Gastrocolic fistula is a rare but serious complication that can occur after the placement of a percutaneous gastrostomy tube, particularly if a patient experiences chronic diarrhea without a clear cause.
- A case study highlighted a patient who developed chronic diarrhea and severe malnutrition following a tube replacement, leading to further imaging that revealed the fistula.
- The discontinuation of the gastrostomy tube resulted in the resolution of diarrhea and improved nutritional status, underscoring the need for healthcare providers to consider this complication when diagnosing persistent diarrhea in gastrostomy patients.
Article Abstract
Introduction: gastrocolic fistula is an infrequent but severe complication of percutaneous gastrostomy. Clinical suspicion in the presence of chronic diarrhea of unknown etiology manifesting after percutaneous radiological gastrostomy (PRG) tube replacement is key to early detection and treatment. Case report: we report the case of a patient with PRG that began with chronic diarrhea after tube replacement and developed severe malnutrition. Initial treatment was not effective, studies were extended with the finding of this complication in a CT image. The use of this tube was discontinued with resolution of diarrhea and a favorable nutritional outcome. Discussion: this case report shows the importance of considering gastrocolic fistula in the differential diagnosis of persistent diarrhea in a patient with a gastrostomy tube.
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