Abstract: Gastrocutaneous fistula after gastrostomy tube removal may persist for a prolonged period.
Key Words: gastrocutaneous fistula, endoscopically-placed metal clips
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%.
One month later, the patient presented with drainage of gastric contents from a gastrocutaneous fistula with associated local skin edema and erythema.
There has been only one previously reported case of closure of a nonhealing gastrocutaneous fistula using endoscopic clips.
Gastrocutaneous fistula in children after removal of gastrostomy tube: incidence and predictive factors.
Fibrin glue as adjuvant treatment for gastrocutaneous fistula after gastrostomy tube removal.
Endoscopic clipping of a nonhealing gastrocutaneous fistula following gastrostomy removal.
7,8) Surgical correction is reserved for gastrocutaneous fistulas intractable to other forms of therapy.
6,7) While most stents have been placed for gastrocutaneous fistulas
along sleeve gastrectomy staple lines or for anastomotic dehiscences elsewhere in the gastro-intestinal tract, success has been also reported with duodenocutaneous leaks.