Evidence map›Paper›PMID 41346730›Full record

ArticleFrontiers in surgery2025

Case Report: Triple gastro-colic fistula after percutaneous endoscopic gastrostomy placement.

Matteo Pittacolo, Marco Brolese, Arianna Vittori, Daniele Passeri, Renato Salvador, Valeria Valli, Lorenzo Vallese, Nicola Baldan, Gianfranco Da Dalt, Michele Valmasoni and 1 more

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Matteo Pittacolo *1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Marco Brolese *1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Arianna Vittori1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Daniele Passeri1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Renato Salvador1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Valeria Valli1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Lorenzo Vallese1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Nicola Baldan1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Gianfranco Da Dalt1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Michele Valmasoni1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.
Alberto Friziero1st General Surgery, Acute Care Surgery Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Azienda Ospedale Università Padova, Padova, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Percutaneous endoscopic gastrostomy (PEG) is a widely accepted procedure for long-term enteral nutrition. Although generally safe, rare but life-threatening complications can occur. We report a unique case of a triple gastro-colic fistula, identified during an emergency surgical intervention after radiological replacement of a PEG one year following its initial placement. Case presentation: An 83-year-old man with Parkinson's-related dysphagia underwent PEG placement. One year later, following catheter occlusion, it was replaced radiologically. The next day, the patient developed abdominal pain and diarrhea, and imaging revealed catheter misplacement into the transverse colon. Surgical exploration identified three chronic and dehiscent fistulous tracts involving the stomach, transverse colon, and sigmoid colon. The patient was treated with colonic resection, gastric double-layer suture, and surgical gastrostomy. Recovery was uneventful and the patient was discharged on postoperative day eight. Conclusion: This is the first reported case of a triple gastro-colic fistula following PEG placement. The case highlights that early recognition and multidisciplinary management of PEG-related complications are crucial. Prompt diagnosis and the availability of a specific Acute Care Department are essential for the effective management of such complex scenarios.

Indexed as

complicationsfistulagastrostomyintestinal perforationlarge bowel resection

Identifiers

PMID41346730
PMCPMC12672460

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.