使用内镜夹闭合不愈合的胃皮肤瘘。

Closure of a nonhealing gastrocutaneous fistula using an endoscopic clip.

作者信息

Siddiqui Ali A, Kowalski Thomas, Cohen Sidney

机构信息

Division of Gastroenterology, Department of Internal Medicine, Thomas Jefferson Medical School, Philadelphia, PA, USA.

出版信息

South Med J. 2007 Jan;100(1):75-6. doi: 10.1097/SMJ.0b013e31802f86a2.

DOI:10.1097/SMJ.0b013e31802f86a2

PMID:17269533

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.

摘要

胃造瘘管拔除后胃皮肤瘘可能会持续很长一段时间。我们报告一例58岁女性患者，其在内镜下放置的胃造瘘管（PEG）拔除后胃皮肤瘘持续了5个月。使用抗酸药物和促动力剂进行保守治疗未成功。为闭合胃皮肤瘘，采用内镜金属夹来闭合瘘口。