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Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
Closure of a nonhealing gastrocutaneous fistula using an endoscopic clip
Ali A Siddiqui1, Thomas Kowalski, Sidney Cohen
1Division of Gastroenterology, Department of Internal Medicine, Thomas Jefferson Medical School, Philadelphia, PA, USA. asiddiqu2004@yahoo.com
Abstract:
Gastrocutaneous fistula after gastrostomy tube removal may persist for a prolonged period. We present a case of a 58-year-old woman with a GCF that had persisted for 5 months following the removal of an endoscopically-placed gastrostomy tube (PEG). Conservative therapy with anti-acid medications and administering motility agents was unsuccessful. For the closure of the GCF, the endoscopic metal clips were used to close the fistula.
