Efficacy of Endoscopic Clips in the Treatment of Gastrocutaneous Fistulas Following Gastrostomy Tube Removal
نویسندگان
چکیده
Background: Persistent gastrocutaneous fistula (GCF) following percutaneous endoscopic gastrostomy (PEG) tube removal often require surgical intervention for successful closure which increases the morbidity and mortality associated with this condition. The growing use of endoscopic clips to close fistulas has become an effective and less invasive treatment modality. We report successful closure of four out of five persistent GCFs following gastrostomy tube removal using endoscopic clips.
منابع مشابه
Over-the-scope clip to close a fistula after removing a percutaneous endoscopic gastrostomy tube.
(PEG) feeding is indicated in patients with increased nutritional requirements, such as patients with cystic fibrosis [1]. Refractory gastrocutaneous fistulas are a recognised complication following PEG tube removal. We describe the case of a patient with a nonhealing gastrocutaneous fistula that was successfully closed using an over-the-scope clip (OTSC). Following PEG tube removal, a patient ...
متن کاملExternal migration of a percutaneous endoscopic gastrostomy tube through a gastrocutaneous fistula
Complications of percutaneous endoscopic gastrostomy (PEG) tubes range from simple infections to deleterious effects of tube misplacement [1]. We present a unique case of external migration of a PEG tube through a pre-existing post-gastrostomy gastrocutaneous fistula. A 66-year-old lady was admitted due to a leak around the PEG tube. Following failure of conservative measures, the tube was remo...
متن کاملA Nasogastric Tube Inserted into the Gastrocutaneous Fistula
We reported a case in which a nasogastric tube was inserted into the gastrocutaneous fistula, diagnosed by abdominal computed tomography. A 78-year-old man with a history of recurrent cerebral hemorrhage had a percutaneous endoscopic gastrostomy tube due to dysphagia for 2 years. However, soft tissue infection at the gastrostomy site caused the removal of the tube. Immediately, antibiotic agent...
متن کاملConversion of Percutaneous Endoscopic Gastrostomy to Gastrojejunostomy Under Fluoroscopic Guidance for Treatment of Gastrocutaneous Fistula
Persistent enterocutaneous fistula after the removal of a gastrostomy tube is an unusual complication of percutaneous endoscopic gastrostomy (PEG). The following case report describes an 81-year-old man diagnosed with stroke and dysphagia in May 2008. The patient had been using a PEG since 2008, and PEG site infection occurred in June 2013. The PEG tube was removed and a new PEG tube was insert...
متن کاملSuccessful endoscopic closure of a gastrocutaneous fistula using a 'Padlock Clip'.
A 27-year-old woman with severe neurological disability and portal hypertension secondary to Wilson’s disease was referred for endoscopic closure of a chronic gastrocutaneous fistula following the removal of a percutaneous endoscopic gastrostomy (PEG) tube 8 months previously (●" Fig.1). The patient suffered from skin denudation caused by leakage of gastric secretions. At upper gastrointestinal...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2013