Closure of a Nonhealing Gastrocutaneous Fistula Using an Endoscopic Clip
Closure of a Nonhealing Gastrocutaneous Fistula Using an Endoscopic Clip
Gastrocutaneous fistula after gastrostomy tube removal may persist for a prolonged period. We present a case of a 58-year-old woman with a GCF that had persisted for 5 months following the removal of an endoscopically-placed gastrostomy tube (PEG). Conservative therapy with anti-acid medications and administering motility agents was unsuccessful. For the closure of the GCF, the endoscopic metal clips were used to close the fistula.
Persistent gastrocutaneous fistula (GCF) after gastrostomy tube removal is a well-recognized sequela of long-term use, with a reported incidence of 2 to 44%. Conservative therapy with H2-blockers and motility agents, as well as mechanical plugging of the fistula, has had mixed success. For this reason, persistent GCF usually requires surgical correction. We present the use of endoscopically-placed metal clips to rapidly close an intractable gastrocutaneous fistula that resulted from gastrostomy tube removal.
Gastrocutaneous fistula after gastrostomy tube removal may persist for a prolonged period. We present a case of a 58-year-old woman with a GCF that had persisted for 5 months following the removal of an endoscopically-placed gastrostomy tube (PEG). Conservative therapy with anti-acid medications and administering motility agents was unsuccessful. For the closure of the GCF, the endoscopic metal clips were used to close the fistula.
Persistent gastrocutaneous fistula (GCF) after gastrostomy tube removal is a well-recognized sequela of long-term use, with a reported incidence of 2 to 44%. Conservative therapy with H2-blockers and motility agents, as well as mechanical plugging of the fistula, has had mixed success. For this reason, persistent GCF usually requires surgical correction. We present the use of endoscopically-placed metal clips to rapidly close an intractable gastrocutaneous fistula that resulted from gastrostomy tube removal.