Year 2016 / Volume 108 / Number 9
Digestive Diseases Image
Over-the-scope clip closure of gastrocutaneous fistula

578

Eduardo Rodrigues-Pinto, Pedro Pereira, Filipe Vilas-Boas, Guilherme Macedo,

Abstract
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.
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References
1. Haws EB, Sieber WK, Kiesewetter WB. Complications of tube gastrostomy in infants and children. 15-year review of 240 cases. Ann Surg 1966;164:284-90
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3. Siddiqui AA, Kowalski T, Cohen S. Closure of a nonhealing gastrocutaneous fistula using an endoscopic clip. South Med J 2007;100:75-6
4. Kobak GE, McClenathan DT, Schurman SJ. Complications of removing percutaneous endoscopic gastrostomy tubes in children. J Pediatr Gastroenterol & Nutr 2000;30:404-7
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Rodrigues-Pinto E, Pereira P, Vilas-Boas F, Macedo G. Over-the-scope clip closure of gastrocutaneous fistula. 3963/2015


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Publication history

Received: 08/08/2015

Accepted: 18/08/2015

Published: 06/09/2016

Article revision time: 8 days

Article editing time: 395 days


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