DUODENO-BILIARY FISTULA CLOSING WITH NAGI LUMINAL APPOSING METAL STENT

83-year-old man who underwent gastroscopy, which showed a 5–6 mm fistula orifice in duodenal bulb. With radiological control, placed a balloon occlude fistula orifice, checking that there was a 2 cm small cavity that drained through percutaneous drainage for cholecystitis. We passed off a 0.035wire into the cavity. A NAGI luminal-apposing metal stent placed. This stent turns the external fistula into internal (duodenal-perihiliar cavity). Gallbladder drainage was clamped and finally removing by the clinical improvement drainage. Patient did not present biliary obstruction symptoms. A gastroscopy was performed in 6 weeks, showed a little cavity with hyperplasic mucosa. Stent removed without complications.