title: Successful Palliation of a Malignant Cologastric Fistula with a Covered Self-Expanding Metal Stent.
abstract: When patients present with malignant cologastric fistulas, the tumor stage is often advanced and management is only palliative. We report the case of a 75-year-old man with a symptomatic cologastric fistula arising from an advanced tumor in the transverse colon, previously stented owing to malignant obstruction. An 8-cm-long covered self-expanding metal stent (COMVI enteral colonic stent; Taewoong Medical) was placed inside the primary stent, which sealed the fistula and completely alleviated the symptoms. Considering the successful outcome, we propose that insertion of a covered stent be considered in the palliative management of patients with malignant cologastric fistulas.
authors.affiliation: Department of Surgical Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.
authors.forename: Mathilde Therese Winther
authors.initials: MT
authors.lastname: Breitenbauch
authors.affiliation: Department of Surgical Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.
authors.forename: Anders
authors.initials: A
authors.lastname: Tøttrup
keywords: Cologastric; Fistula; Stents