title: PEG closure in the second attempt.
abstract: This case report demonstrates successful endoscopic treatment of a persistent gastrocutaneous fistula after removal of a percutaneous endoscopic gastrostomy (PEG) in a 21-year-old patient with mucoviscidosis after lung transplantation. Because the initial OTSC clip (gastric) did not close the fistula sufficiently, we had to remove it and replace it with a larger OTSC clip (colon) in a second intervention. That clip finally sufficiently closed the fistula.
authors.affiliation: Westmecklenburg-Klinikum, Hagenow, Germany; Evangelische Krankenhaus Lippstadt, Lippstadt, Germany; Rostock University Medical Center, Rostock, Germany.
authors.forename: Leif
authors.initials: L
authors.lastname: Schiffmann
authors.affiliation: Ovesco Endoscopy AG, Tübingen, Germany.
authors.forename: Marin
authors.initials: M
authors.lastname: Roth
authors.affiliation: Rostock University Medical Center, Rostock, Germany.
authors.forename: Florian
authors.initials: F
authors.lastname: Kuehn