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. 2008 Jan;4(1):1-4.
doi: 10.4103/0972-9941.40989.

Malposition of percutaneous endoscopic-guided gastrostomy: Guideline and management

Siamak Milanchi  1 , Matthew T Wilson
Affiliations

Malposition of percutaneous endoscopic-guided gastrostomy: Guideline and management

Siamak Milanchi et al. J Minim Access Surg. 2008 Jan.

Abstract

Percutaneous endoscopic-guided gastrostomy (PEG) is done routinely on patients who suffer from inability to feed by mouth. PEG is generally considered a safe procedure with a low complication rate. A commonly underreported complication of PEG is malposition. This manuscript is a guideline to diagnosis and management of PEG malposition. We describe the different types of malposition, their diagnosis and management.

Keywords: Gastrocolic fistula; gastrocutaneous fistula; percutaneous endoscopic-guided gastrostomy.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Migration of the malpositioned PEG from stomach into the colon and creation of gastrocolic fistula
Figure 2
Figure 2
One day after PEG tube placement. The gastrostomy tube (double arrow) has been inserted through the transverse colon (white arrow) into the stomach (black arrow)
Figure 3
Figure 3
Same patient in Figure 2. Eighteen days after placement of PEG tube (white arrow). Note that the hub of the gastrostomy tube has migrated from the stomach into the transverse colon (double arrow)
See this image and copyright information in PMC

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