Wood James, Leong Stephen, McCarter Martin, Pearlman Nathan, Stiegmann Gregory, Gonzalez Ricardo J
University of Colorado at Denver, Aurora, CO, USA.
Surg Innov. 2010 Mar;17(1):53-6. doi: 10.1177/1553350609359921. Epub 2010 Jan 21.
Persistent gastrocutaneous (GC) fistula is a rare but problematic complication of gastrostomy feeding tube removal. Several techniques for nonoperative fistula closure have been attempted with mixed results. None has proven both satisfactorily simple and consistently effective. The authors present a case of persistent GC fistula treated by a simple outpatient endoscopic-assisted procedure using a porcine anal fistula plug. The procedure requires only basic endoscopic skills, similar to percutaneous gastrostomy tube placement, and it involves minimal operative time and risk to the patient. This technique offers a potential solution to the troublesome problem of persistent GC fistula.
持续性胃皮肤瘘（GC）是胃造口喂养管拔除后一种罕见但棘手的并发症。已经尝试了几种非手术闭合瘘管的技术，结果不一。没有一种方法被证明既令人满意地简单又始终有效。作者报告了一例持续性GC瘘患者，采用简单的门诊内镜辅助手术，使用猪肛门瘘封堵器进行治疗。该手术仅需要基本的内镜技术，类似于经皮胃造口管置入，且手术时间短，对患者风险小。这项技术为持续性GC瘘这一棘手问题提供了一种潜在的解决方案。
