title: Closure of a nonhealing gastrocutaneous fistula using an endoscopic clip.
abstract: Gastrocutaneous fistula after gastrostomy tube removal may persist for a prolonged period. We present a case of a 58-year-old woman with a GCF that had persisted for 5 months following the removal of an endoscopically-placed gastrostomy tube (PEG). Conservative therapy with anti-acid medications and administering motility agents was unsuccessful. For the closure of the GCF, the endoscopic metal clips were used to close the fistula.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Thomas Jefferson Medical School, Philadelphia, PA, USA. asiddiqu2004@yahoo.com
authors.forename: Ali A
authors.initials: AA
authors.lastname: Siddiqui
authors.forename: Thomas
authors.initials: T
authors.lastname: Kowalski
authors.forename: Sidney
authors.initials: S
authors.lastname: Cohen
mesh_terms: D000368:Aged; D017577:Cutaneous Fistula / Q000209:etiology / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005747:Gastric Fistula / Q000209:etiology / Q000601:surgery*; D005774:Gastrostomy / Q000009:adverse effects; D006801:Humans