Abstract
Background: Management of non-healing gastrocutanous fistula is difficult especially in debilitated patients. Methods: On an elderly man with advanced stage esophageal cancer and sever oxygen-dependent lung disease; who had persistent acid leakage from the percutaneous endoscopic gastrostomy site, small stripes of absorbable fiber(Surgicel)were introduced from the cutaneous side of the fistula and fibrin sealant(Tisseel® VH)with its two components was endoscopically injected through a specially designed syringe(Duploject® applicator) and catheter (Duplocath® 180, Immuno AG,Vienna, Austria) in addition to applying of four hemeostatic clips(Rotatable clip fixing device HX-5LR-1. Olympus,America INC,Melville,N.Y) on the gastric aspect of the fistula. Results: stopping of the leakage was successful,permanent and prevented more morbidity with no complication. Conclusion: We believe that our new technique is a novel and successful one, but large study is needed to define the proper candidates and success rate.
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
