TREATMENT OF GASTROCUTANEOUS FISTULA BY A COMBINATION OF ENDOSCOPIC CLIPPING AND FIBRIN GLUE

Abstract

Gastrocutaneous fistula (GCF) after gastrostomy tube removal is rare in adult while a known complication primarily reported in the pediatric literature. An 36-year-old man underwent a radical treatment of congenital esophageal atresia in infants. When 35 years have passed, he had GCF unexpectedly. We tried endoscopic clipping and achieved to reduce discharge. Then fibrin glue was applied directly over the fistulous tract. We succeeded in fistulas closure completely in short hospital stay. This procedure could be effective treatment without complications, and avoid some unnecessary surgical interventions in GCF treatment.