Closure of a nonhealing gastrocutaneous fistula using an endoscopic clip.
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.
Siddiqui
Ali A
AA
Division of Gastroenterology, Department of Internal Medicine, Thomas Jefferson Medical School, Philadelphia, PA, USA. asiddiqu2004@yahoo.com
Kowalski
Thomas
T
Cohen
Sidney
S
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