An adolescent patient developed vomiting 1 month after percutaneous endoscopic gastrostomy (PEG) insertion. A gastrostomy-tube contrast study confirmed the gastrocolic fistula. The gastrocolic fistula, a rare complication, should be considered in high-risk patients. After the first PEG tube insertion by Dr Gauderer in 1979,1 advances in the technique, use in adults and development of different types of tubes have helped various types of patients. Failure rates are similar between laparoscopic (0.5%) and PEG (0.9%) procedures; the later had a higher risk of complications of visceral injury and mechanical issues.2 Similar results were reported in a heterogeneous group of patients.3 However, PEG showed no differences in mortality or infection compared with percutaneous radiologic gastrostomy.4 Complications are inherent with any procedure; awareness of immediate and late complications of PEG insertion is vital. We discuss here a case pertinent to quiescent late (≥2 weeks) complication. An adolescent patient was neurologically devastated after a motor-vehicle-collision accident. The patient developed …

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经皮内镜下胃造口术后无痛并发症：胃瘘一例

一名青少年患者在经皮内窥镜胃造口术 (PEG) 置入后 1 个月出现呕吐。胃造瘘管对比研究证实了胃结肠瘘。胃结肠瘘是一种罕见的并发症，在高危患者中应予以考虑。在 1979 年 Gauderer 博士首次插入 PEG 管后，1 技术的进步、在成人中的使用以及不同类型管的开发帮助了各种类型的患者。腹腔镜 (0.5%) 和 PEG (0.9%) 手术的失败率相似；后者发生内脏损伤和机械问题并发症的风险更高。2 在异质性患者组中报告了类似的结果。3 然而，与经皮放射胃造瘘术相比，PEG 在死亡率或感染方面没有差异。4 任何并发症都是固有的程序; 了解 PEG 插入的即刻和晚期并发症至关重要。我们在这里讨论与静止晚期（≥2 周）并发症相关的病例。一名青少年患者在机动车碰撞事故后神经系统受损。患者发展为……