TY - JOUR
T1 - Pyeloduodenal fistula
T2 - A previously undescribed complication of stamm gastrostomy
AU - Bleacher, John C.
AU - Boline, George B.
AU - Decter, Ross M.
AU - Conter, Robert L.
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 1993/12
Y1 - 1993/12
N2 - A variety of complications have been described after placement of a Stamm gastrostomy in infants and children, including gastric volvulus, pancreatitis, jaundice, gastroduodenal mucosal intussusception with gastric outlet obstruction, and even aortogastric fistula. However, this is the first report of pyeloduodenal fistula after Stamm gastrostomy in a 4 1 2-month-old boy. The child successfully underwent nonoperative therapy; he was treated by withdrawing the gastrostomy tube (Foley catheter) from the renal pelvis, bowel rest, and total parenteral nutrition. After the case presentation is a brief review of this rare entity, with its clinical presentation and pathophysiological differences between adult and pediatric cases. Various treatment options, both operative and nonoperative, are also described.
AB - A variety of complications have been described after placement of a Stamm gastrostomy in infants and children, including gastric volvulus, pancreatitis, jaundice, gastroduodenal mucosal intussusception with gastric outlet obstruction, and even aortogastric fistula. However, this is the first report of pyeloduodenal fistula after Stamm gastrostomy in a 4 1 2-month-old boy. The child successfully underwent nonoperative therapy; he was treated by withdrawing the gastrostomy tube (Foley catheter) from the renal pelvis, bowel rest, and total parenteral nutrition. After the case presentation is a brief review of this rare entity, with its clinical presentation and pathophysiological differences between adult and pediatric cases. Various treatment options, both operative and nonoperative, are also described.
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U2 - 10.1016/0022-3468(93)90104-S
DO - 10.1016/0022-3468(93)90104-S
M3 - Article
C2 - 8301498
AN - SCOPUS:0027486749
SN - 0022-3468
VL - 28
SP - 1579
EP - 1581
JO - Journal of pediatric surgery
JF - Journal of pediatric surgery
IS - 12
ER -