Читать книгу Emergency Management of the Hi-Tech Patient in Acute and Critical Care - Группа авторов - Страница 40

Colocutaenous fistula formation is a complication only seen with the percutaneous approaches to gastrostomy. A colocuteneous fistula is caused by trapping a loop of bowel between the abdominal wall and the stomach wall and piercing the G‐tube through all three tissue layers. While, in some cases, patients present with colonic obstruction, this complication may not be detected until the first tube change at which point the tube is replaced into the colonic wall but does not make it to the stomach wall. The feeds are started directly into the colon, and the patient develops diarrhea and dehydration. Treatment includes removing the G‐tube and surgical closure of the fistula.