Year 2019 / Volume 111 / Number 5
Letter
What’s next after failure of OTSC® for the closure of gastrostomy fistula? Another OTSC®?

409

DOI: 10.17235/reed.2019.5986/2018

Mafalda Sousa, Luísa Proença, Adélia Rodrigues,

Abstract
A 55-year-old female patient was diagnosed with squamous cell carcinoma of the nasopharynx stage in 2016 and proposed for radical chemo/radiotherapy. A percutaneous endoscopy gastrostomy was performed in 2016 because of the patient´s difficulty in swallowing. The patient had good response to therapy with disease´s remission so the gastrostomy tube was removed in 2018. After two weeks of conservative management, the patient maintained a gastrocutaneous fistula with extravasation of liquid contents. Endoscopic closure with over the scope clip (OTSC®) was performed.
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References
[1] Singhal S., Changela K., Culliford A. et al. Endoscopic closure of persistent gastrocutaneous fistulae, after percutaneous endoscopic gastrostomy (PEG) tube placement, using the over-the-scope-clip system. Therap Adv Gastroenterol. 2015;8(4):182–188. doi: 10.1177/1756283X15578603
[2] Heinrich H., Gubler C., Valli P. Over-the-scope-clip closure of long lasting gastrocutaneous fistula after percutaneous endoscopic gastrostomy tube removal in immunocompromised patients: A single center case series. World J Gastrointest Endosc. 2017;9(2):85–90. doi: 10.4253/wjge.v9.i2.85
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Sousa M, Proença L, Rodrigues A. What’s next after failure of OTSC® for the closure of gastrostomy fistula? Another OTSC®? . 5986/2018


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Publication history

Received: 18/10/2018

Accepted: 26/10/2018

Online First: 28/03/2019

Published: 07/05/2019

Article Online First time: 161 days

Article editing time: 201 days


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