Open Access
Endosc Int Open 2016; 04(07): E759-E760
DOI: 10.1055/s-0042-107071
Case report
© Georg Thieme Verlag KG Stuttgart · New York

PEG closure in the second attempt

Leif Schiffmann
1   Westmecklenburg-Klinikum, Hagenow, Germany
2   Evangelische Krankenhaus Lippstadt, Lippstadt, Germany
3   Rostock University Medical Center, Rostock, Germany
,
Marin Roth
4   Ovesco Endoscopy AG, Tübingen, Germany
,
Florian Kuehn
3   Rostock University Medical Center, Rostock, Germany
› Institutsangaben
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Publikationsverlauf

submitted 12. Februar 2016

accepted after revision 18. April 2016

Publikationsdatum:
19. Mai 2016 (online)

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Background and study aims: This case report demonstrates successful endoscopic treatment of a persistent gastrocutaneous fistula after removal of a percutaneous endoscopic gastrostomy (PEG) in a 21-year-old patient with mucoviscidosis after lung transplantation. Because the initial OTSC clip (gastric) did not close the fistula sufficiently, we had to remove it and replace it with a larger OTSC clip (colon) in a second intervention. That clip finally sufficiently closed the fistula.