title: Enteroatmospheric fistula management by endoscopic gastrostomy PEG tube.
abstract: Management of small-bowel fistulas which are in an open abdomen and have no soft tissue overlay or a fistula tract involves many complications and challenges. Controlling the local leakage of enteric contents has a central role in the success of medical treatment. There are several methods to deal with fistula discharge but unfortunately, the technical solutions only partially address such problems and a definitive management of fistula discharge still remains an insoluble challenge. We describe a simple and cheap method to control fistula leakage by using a percutaneous endoscopic gastrostomy tube.
authors.affiliation: Department of General Surgery, Oswaldo Cruz Hospital, Pernambuco University, Recife, Brazil.
authors.forename: Luiz Ec
authors.initials: LE
authors.lastname: Miranda
authors.affiliation: Department of General Surgery, Oswaldo Cruz Hospital, Pernambuco University, Recife, Brazil.
authors.forename: Ana Cg
authors.initials: AC
authors.lastname: Miranda
mesh_terms: D034841:Abdominal Cavity / Q000601:surgery*; D058107:Abdominal Wound Closure Techniques; D001458:Bandages; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery*; D054843:Negative-Pressure Wound Therapy / Q000379:methods*; D014945:Wound Healing / Q000502:physiology*
keywords: Abdominal sepsis; Negative pressure wound therapy; Open abdomen; Small-bowel fistula; Temporary abdominal closure