title: Combined endoscopic techniques for closure of a chronic post-surgical gastrocutaneous fistula: case report and review of the literature (with video).
abstract: Several techniques have been proposed to seal post-operative leaks endoscopicaly, however, chronic fibrosed fistulas remain a tenacious problem. We describe the success of a combination of minimally invasive peroral endoscopic techniques to seal and permanently close a chronic gastrocutaneous fistula complicating a laparoscopic gastric bypass, these techniques included: fistuloscopy, argon plasma coagulation, mucosal stripping and the novel over-the-scope clips.
authors: Gastroenterology Department, Dar Alfouad Hospital, 26th of July St., 6th of October City, Giza 12568, Egypt. h.shehab@kasralainy.edu.eg
authors: Hany M
authors: HM
authors: Shehab
authors: Hady M
authors: HM
authors: Elasmar
mesh_terms: D000328:Adult; D017577:Cutaneous Fistula / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D015390:Gastric Bypass / Q000009:adverse effects*; D005747:Gastric Fistula / Q000209:etiology / Q000601:surgery*; D005773:Gastroscopy / Q000379:methods*; D006801:Humans; D017075:Laser Coagulation / Q000379:methods*; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*