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Rev Esp Enferm Dig. 2019 Mar 28;111. doi: 10.17235/reed.2019.5986/2018. [Epub ahead of print]

What's next after failure of OTSC® for the closure of gastrostomy fistula? Another OTSC®?

Author information

1
Gastrenterologia, Centro Hospitalar de Vila Nova de Gaia e Espinho, Portugal.
2
Department of Gastroenterology and Hepatology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal.
3
Department of Gastroenterology and Hepatology, Centro Hospitalar de Gaia/Espinho, Portugal.

Abstract

A 55-year-old female patient was diagnosed with squamous cell carcinoma of the nasopharynx stage in 2016 and proposed for radical chemo/radiotherapy. A percutaneous endoscopy gastrostomy was performed in 2016 because of the patient´s difficulty in swallowing. The patient had good response to therapy with disease´s remission so the gastrostomy tube was removed in 2018. After two weeks of conservative management, the patient maintained a gastrocutaneous fistula with extravasation of liquid contents. Endoscopic closure with Over The Scope Closure (OTSC®) was performed.

PMID:
30917664
DOI:
10.17235/reed.2019.5986/2018
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