Fistulization between stomach and transverse colon because of nasogastric feeding tube

Nasogastric tube is commonly used for nasogastric decompression, feeding, and gastric lavage. In the gastrointestinal tract, malposition, coiling, or knotting can occur anywhere along the course of the tube, including the pharynx, pyriform sinus, esophagus, stomach, and duodenum (1). Nasogastric tubes can cause gastritis or gastric bleeding because of chronic irritation or pressure necrosis (2). Patients with prior esophageal or gastric surgery have a higher risk for gastrointestinal perforation, and those with facial trauma are at a risk for cribriform plate perforation and intracranial insertion (3-4). However, there are no data regarding gastrocolic fistulization secondary to the use of a nasogastric feeding tube.