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Endoscopic treatment of a gastrocutaneous fistula in a chil

M Couselo Jerez1, E Valdés Diéguez1, V Ibáñez Pradas1

  • 1Pediatric Surgery Department. Hospital Universitario y Politécnico La Fe. Valencia (Spain).

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|January 15, 2025
PubMed

Insights

A novel endoscopic approach successfully treated a rare gastrocutaneous fistula (GCF) in a child, offering a safe and effective alternative to traditional methods for pediatric surgical complications.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Endoscopy

Background:

  • Gastric leaks and gastrocutaneous fistulae (GCF) are rare complications in pediatric digestive surgery.
  • Conventional treatments include conservative management and surgical interventions.
  • Endoscopic techniques are not widely established for pediatric GCF treatment.

Observation:

  • An underweight child presented with a GCF following esophagocoloplasty with right colon.
  • The GCF was managed endoscopically using double J ureteral stents (DJUS).
  • A laminar drain and gastro-jejunal feeding tube were employed during treatment.

Findings:

  • The endoscopic placement of DJUS facilitated fistula closure.
  • Progressive reduction in DJUS diameter was performed.
  • Gastric orifice closure was achieved 92 days post-therapy without severe complications or recurrence.

Implications:

  • This case highlights an innovative and effective endoscopic treatment for pediatric GCF.
  • The described endoscopic approach offers a safe alternative for managing this rare complication in children.
  • This strategy may expand endoscopic options in pediatric surgical care.
Abstract

Keywords:
ChildEndoscopy, gastrointestinalGastric fistulaTherapeutics

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