Abstract

SOBRINO-FAYA, Miguel et al. Percutaneous endoscopic suturing is an alternative treatment for persistent gastrocutaneous post-PEG fistula. Rev. esp. enferm. dig. [online]. 2011, vol.103, n.6, pp.328-331. ISSN 1130-0108.  https://dx.doi.org/10.4321/S1130-01082011000600009.

Persistent gastrocutaneous fistula after the removal of a gastrostomy tube is an unusual complication associated with percutaneous endoscopic gastrostomy (PEG). Surgical closure has been usually the treatment of choice. Several endoscopic methods have been previously attempted to close the fistula, usually with poor results. We report a successful case of percutaneous endoscopic suturing of a persistent gastrocutaneous post-PEG fistula, using a monofilament absorbable suture. A biopsy forceps was used to de-epithelialize both ends of the fistulous tract to promote granulation tissue formation. The gastrocutaneous fistula closed completely after the procedure and there were no complications during the follow-up.

Keywords : Percutaneous endoscopic gastrostomy (PEG); Gastrocutaneous fistula; Percutaneous endoscopic suturing.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )