Regional Institute of Gastroenterology and Hepatology, Cluj-Napoca; Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Regional Institute of Gastroenterology and Hepatology, Cluj-Napoca, Romania.
J Gastrointestin Liver Dis. 2019 Jun 1;28:241-244. doi: 10.15403/jgld-186.
This case reports a iatrogenic gastric fistula due to external draining successfully closed by using an over- the-scope clip. A 50-year old patient with a history of acute pancreatitis, segmental portal hypertension and splenectomy for splenic rupture, with long-term external drainage for a low volume pancreatic fistula, was referred to our hospital. The patient noticed the occurrence of a sudden increase of the drain flow and the immediate drainage of ingested liquid, with no fever or pain. An upper gastrointestinal endoscopy evidenced the gastric fistula with the presence of the drain inside the stomach near a gastric varix. The surgical approach was inappropriate due to bleeding risk. An over-the-scop clip was placed succeeding to stop the gastric flow. The external fistula closed one week later.
本病例报告了一例因外部引流导致的医源性胃瘘，经使用内镜下夹闭成功治愈。一位 50 岁的患者，既往有急性胰腺炎、节段性门静脉高压和脾破裂行脾切除术病史，长期接受低容量胰瘘的外部引流，因引流突然增加且立即引流出摄入的液体而被转诊至我院。患者无发热或疼痛，但注意到引流管已进入胃内靠近胃静脉曲张处。由于出血风险，手术方法不适用。内镜下夹闭成功地阻止了胃瘘的胃流出。一周后外部瘘口闭合。
