{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T11:51:17Z","timestamp":1792497077945,"version":"4.5.0"},"reference-count":5,"publisher":"California Digital Library (CDL)","issue":"4","license":[{"start":{"date-parts":[[2020,10,5]],"date-time":"2020-10-05T00:00:00Z","timestamp":1601856000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Case Presentation: A 48-year-old-female presented to the emergency department with dislodgement of her percutaneous endoscopic gastrostomy (PEG) tube, necessitating bedside replacement. Replacement was done without difficulty and gastrografin radiography was obtained to confirm positioning. Radiography revealed contrast filling the colon at the splenic flexure and proximal descending colon suggestive of colocutaneous fistula formation.  \n\nDiscussion: The patient required hospitalization with surgical consultation, initiation of parenteral nutrition, and conservative management of the fistula with surgical replacement of the PEG tube. Although rare, it is paramount for the emergency physician to be aware of this complication when undertaking bedside replacement of PEG tubes.<\/jats:p>","DOI":"10.5811\/cpcem.2020.7.48335","type":"journal-article","created":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T06:12:47Z","timestamp":1605593567000},"page":"632-633","source":"Crossref","is-referenced-by-count":2,"title":["Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube Insertion"],"prefix":"10.5811","volume":"4","author":[{"given":"Matthew","family":"Warner","sequence":"first","affiliation":[{"name":"Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Durrani","sequence":"additional","affiliation":[{"name":"Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29705","published-online":{"date-parts":[[2020,10,5]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Lee J, Kim J, Kim HI, et al. Gastrocolocutaneous fistula: an unusual case of gastrostomy tube malfunction with diarrhea. Clin Endosc. 2018;51(2):196-200.","DOI":"10.5946\/ce.2017.062"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Yamazaki T, Sakai Y, Hatakeyama K, et al. Colocutaneous fistula after percutaneous endoscopic gastrostomy in a remnant stomach. Surg Endosc. 1999;13(3):280-2.","DOI":"10.1007\/s004649900964"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Chime C, Ravi M, Daniel M, et al. Gastrocolic fistula: a rare presentation of colon cancer. Case Rep Gastrointest Med. 2018;2018:6958925-3.","DOI":"10.1155\/2018\/6958925"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Friedmann R, Feldman H, Sonnenblick M. Misplacement of percutaneously inserted gastrostomy tube into the colon: report of 6 cases and review of the literature. JPEN J Parenter Enteral Nutr. 2007;31(6):469-76.","DOI":"10.1177\/0148607107031006469"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Hucl T and Spicak J. Complications of percutaneous endoscopic gastrostomy. Best Pract Res Clin Gastroenterol. 2016;30(5):769-81.","DOI":"10.1016\/j.bpg.2016.10.002"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T20:22:42Z","timestamp":1605817362000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/4fr5n1tg"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,5]]},"references-count":5,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,11,10]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.7.48335","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"},{"value":"2474-252X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10,5]]}}}