Persistent gastro-cutaneous fistula closure with tack suture system in the setting of a severe esophageal stricture

Mohammad Sultan; Ricardo Romero; John Evans; Janak Shah; Abdul El-Chafic

doi:10.1016/j.vgie.2022.02.010

Persistent gastro-cutaneous fistula closure with tack suture system in the setting of a severe esophageal stricture

VideoGIE. 2022 Apr 7;7(6):205-207. doi: 10.1016/j.vgie.2022.02.010. eCollection 2022 Jun.

Authors

Mohammad Sultan¹, Ricardo Romero¹, John Evans¹, Janak Shah¹, Abdul El-Chafic¹

Affiliation

¹ Ochsner Medical Center, New Orleans, Louisiana.

Abstract

Video 1Endoscopic video demonstrating an esophageal stricture, which was dilated, resulting in a deep tear without perforation. Previously placed hemoclips were visualized and removed. argon plasma coagulation was applied to denude the fistula epithelium. Subsequent demonstration of the use of the tack suturing system to close a persistent gastro-cutaneous PEG fistula.

Keywords: GCF, gastro-cutaneous fistula; OTSC, over-the-scope clip.