Abstract
A 41-year-old man with cerebral palsy was referred to our institution with a gastrocolic fistula (GCF) secondary to migration of a PEG tube from the stomach into the transverse colon (TC). The GCF, which was confirmed by CT (A), manifested as intense halitosis and profuse diarrhea upon PEG feeding. At EGD, the GCF was seen to involve the greater curvature of the stomach (B). Intubation of the fistulous tract allowed removal of the PEG bumper, which lay within the TC. An over-the-scope clip system (OTSC) (Ovesco AG, Tuebingen, Germany) was mounted onto the gastroscope (C).
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