Pyeloduodenal fistula: A previously undescribed complication of stamm gastrostomy

John C. Bleacher, George B. Boline, Ross M. Decter, Robert L. Conter

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1579-1581
Number of pages3
JournalJournal of pediatric surgery
Volume28
Issue number12
DOIs
StatePublished - Dec 1993

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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