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Persistent Fistula Closure After Endoscopic Ultrasound-Directed Transgastric Endoscopic Retrograde
Mohamad Aghaie Meybodi1, Amitpal S Johal1, Molham Abdulsamad1
1Division of Gastroenterology, Geisinger Medical Center, Danville, PA.
Abstract:
A gastrogastric fistula is a delayed complication of the endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography. Endoscopic closure of these fistulae poses a significant challenge, and surgical intervention may be required in some patients. In this study, we discuss the case of a 69-year-old woman with persistent fistula following the endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography procedure. Despite the failure of conventional advanced endoscopic fistula closure methods, successful closure of the fistula was achieved using a postinfarct ventricular septal defect occluder.
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