Pyeloduodenal fistula: a previously undescribed complication of Stamm gastrostomy
| Autor: | Robert Conter, Ross M. Decter, George B. Boline, John C. Bleacher |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Male
medicine.medical_specialty Urinary Fistula medicine.medical_treatment Fistula Foley catheter Intussusception (medical disorder) medicine Intestinal Fistula Humans Kidney Pelvis Duodenal Diseases Intubation Gastrointestinal Gastrostomy Gastric volvulus business.industry Infant Gastric outlet obstruction General Medicine medicine.disease Surgery Parenteral nutrition Pediatrics Perinatology and Child Health Pancreatitis Kidney Diseases business |
| Zdroj: | Journal of pediatric surgery. 28(12) |
| ISSN: | 0022-3468 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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