Over-the-scope clip closure of gastrocutaneous fistula.
A 35-year-old female patient, with Batten's disease, submitted to a surgical gastrostomy in 2005, and had it replaced in 2007, 2011 and 2014 with one with a filled balloon as its internal retention mechanism. In 2015, she presented to the emergency room due to stomal enlargement, leakage and chemical dermatitis and cellulitis. A 12 mm over-the-scope clip was placed, after anchoring the fistula edges with the twin grasper and suction of the defect into the applicator cap. Endoscopic resolution of the fistula was achieved.
Gastroenterology, Centro Hospitalar São João, Portugal.
Eduardo
E
Rodrigues-Pinto
Gastroenterology, Centro Hospitalar São João, Portugal.
Pedro
P
Pereira
Gastroenterology, Centro Hospitalar S. João, Portugal.
Filipe
F
Vilas-Boas
Gastroenterology, Centro Hospitalar S. João, Portugal.
Guilherme
G
Macedo
D000328:Adult; D017577:Cutaneous Fistula / Q000150:complications* / Q000601:surgery*; D016145:Endoscopy, Digestive System; D005260:Female; D005747:Gastric Fistula / Q000150:complications* / Q000209:etiology* / Q000601:surgery*; D005773:Gastroscopy; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D013525:Surgical Instruments; D016896:Treatment Outcome