title: Percutaneous endoscopic suturing is an alternative treatment for persistent gastrocutaneous post-PEG fistula.
abstract: Persistent gastrocutaneous fistula after the removal of a gastrostomy tube is an unusual complication associated with percutaneous endoscopic gastrostomy (PEG). Surgical closure has been usually the treatment of choice. Several endoscopic methods have been previously attempted to close the fistula, usually with poor results. We report a successful case of percutaneous endoscopic suturing of a persistent gastrocutaneous post-PEG fistula, using a monofilament absorbable suture. A biopsy forceps was used to deepithelialize both ends of the fistulous tract to promote granulation tissue formation. The gastrocutaneous fistula closed completely after the procedure and there were no complications during the follow-up.
authors: Department of Digestive Diseases, University Hospital of Santiago de Compostela, A Coruña, Spain. fmacgar@yahoo.es
authors: M
authors: M
authors: Sobrino-Faya
authors: F
authors: F
authors: Macías-García
authors: R
authors: R
authors: Souto-Rodríguez
authors: L
authors: L
authors: Lesquereux-Martínez
authors: J E
authors: JE
authors: Domínguez-Muñoz
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery; D003131:Combined Modality Therapy; D017577:Cutaneous Fistula / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005747:Gastric Fistula / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery; D008297:Male; D008875:Middle Aged; D054328:Proton Pump Inhibitors / Q000627:therapeutic use; D013536:Suture Techniques; D014945:Wound Healing
chemical_list: D054328:Proton Pump Inhibitors