Multimodal Approach to Closing a Chronic Gastrocutaneous Fistula Using Argon Plasma Coagulation, Human Fibrin Glue, and an Over-the-Scope Clip

A case in which a gastrocutaneous fistula developed after percutaneous endoscopic gastrostomy tube placement is presented. The fistula was first managed conservatively, then was closed by argon plasma coagulation and hemoclip placement. The patient was observed and was discharged once the gastrocutaneous fistula closed.

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Use of a double.channel endoscope for closure of a surgically failed chronic benign tracheoesophageal fistula using over-the-scope-clip

Journal of Digestive Endoscopy ◽

10.4103/0976-5042.155252 ◽

2015 ◽

Vol 06 (01) ◽

pp. 032-034 ◽

Cited By ~ 1

Author(s):

Saumil K. Shah

Keyword(s):

Endotracheal Intubation ◽

Tracheoesophageal Fistula ◽

Case Reports ◽

Argon Plasma Coagulation ◽

Argon Plasma ◽

Plasma Coagulation ◽

Over The Scope Clip ◽

Double Channel

AbstractThis case reports the use of a double-channel therapeutic gastroscope to permanently close a surgically failed chronic, benign tracheoesophageal fistula following endotracheal intubation in an elderly lady, using the over-the-scope-clip. Argon plasma coagulation seems essential in such smooth chronic fistulas to make the edges raw. A double-channel therapeutic gastroscope would be ideal for such cases, especially in larger fistulas.

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The efficacy and safety of argon plasma coagulation in the management of polyps remnants in stomach and colon

Gastroenterology ◽

10.1016/s0016-5085(01)81276-2 ◽

2001 ◽

Vol 120 (5) ◽

pp. A258-A258

Author(s):

B NENEMAN ◽

G BOMBSKI ◽

E MALECKAPANAS

Keyword(s):

Argon Plasma Coagulation ◽

Argon Plasma ◽

Efficacy And Safety ◽

Plasma Coagulation

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Endoscopic mucosal resection for recurrent gastric antral vascular ectasia

VASA ◽

10.1024/0301-1526.37.3.289 ◽

2008 ◽

Vol 37 (3) ◽

pp. 289-292 ◽

Cited By ~ 5

Author(s):

Katsinelos ◽

Chatzimavroudis ◽

Katsinelos ◽

Panagiotopoulou ◽

Kotakidou ◽

...

Keyword(s):

Endoscopic Mucosal Resection ◽

Argon Plasma Coagulation ◽

Argon Plasma ◽

Deficiency Anemia ◽

Gastric Antral Vascular Ectasia ◽

Therapeutic Approaches ◽

Plasma Coagulation ◽

Vascular Ectasia ◽

Mucosal Resection ◽

First Case

Gastric antral vascular ectasia (GAVE) is an overt or occult source of gastrointestinal bleeding. Despite several therapeutic approaches have been successfully tested for preventing chronic bleeding, some patients present recurrence of GAVE lesions. To the best of our knowledge, we report the first case, of a 86-year-old woman who presented severe iron-deficiency anemia due to GAVE and showed recurrence of GAVE lesion despite the intensive argon plasma coagulation treatment. We performed endoscopic mucosal resection of bleeding GAVE with resolution of anemia.

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