Managing a Gastrocolocutaneous Fistula with Delayed Presentation after PEG Placement without Surgery

Abstract

Background: This case report describes the successful non-surgical management of a gastrocolocutaneous fistula that developed following percutaneous endoscopic gastrostomy (PEG) placement. Case Report: The patient presented several months after the procedure with abdominal pain and discharge from the PEG site. Imaging revealed a fistula between the stomach and colon, which was managed conservatively with PEG site care, bowel rest, and antibiotics. The patient's symptoms gradually improved over several weeks, and follow-up imaging showed resolution of the fistula. Conclusion: This case demonstrates that non-operative management can be a viable option for select patients with delayed gastrocolocutaneous fistulas after PEG placement.