A Case of Successful Closure using Endoscopic Hemostatic Clips with a Detachable Snare and Fibrin Glue Injection for a Gastro-Cutaneous Fistula following Buried Bumper Syndrome / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 116-121, 2008.
Article
em Ko
| WPRIM
| ID: wpr-53499
Biblioteca responsável:
WPRO
ABSTRACT
The buried bumper syndrome is a well-recognized long-term complication of a percutaneous endoscopic gastrostomy (PEG). Most of the buried bumpers are removed by making an external incision over the PEG site under local anesthesia or during a laparotomy. Recently, endoscopic removal is usually attempted. While the removal of the PEG tube is usually followed by spontaneous closure of the gastrostomy tract, a non-healing gastro-cutaneous fistula is difficult to manage. The fistula is generally treated with bowel rest and total parenteral nutritional support, suppression of gastric acid secretion, and occasionally, surgical exploration and wedge excision of the fistula site are performed. However, in debilitated patients, surgical management is accompanied with high morbidity and mortality. Recently, the use of nonsurgical alternative methods, such as endoscopic therapy using tissue adhesives or hemostatic clips, has emerged with recent advances in endoscopic technology. We report a case of successful closure using endoscopic hemostatic clips with a detachable snare and fibrin glue injection for a gastro-cutaneous fistula following buried bumper syndrome.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Adesivos Teciduais
/
Fibrina
/
Gastrostomia
/
Adesivo Tecidual de Fibrina
/
Apoio Nutricional
/
Proteínas SNARE
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Fístula
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Ácido Gástrico
/
Anestesia Local
/
Laparotomia
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Gastrointestinal Endoscopy
Ano de publicação:
2008
Tipo de documento:
Article