Successful Endoscopic Treatment of
Refractory Postoperative Duodenocutaneous
Fistula using Fibrin Sealant
Volume 1 - Issue 2
Adam Dmitruk1, Anna Pietrzak*1,2, Maciej Rupinski1,2, Lukasz Zyskowski1 and Tomasz Olesinski1
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- 1Maria Sklodowska-Curie Memorial Cancer Center, Institute of Oncology, Warsaw, Poland
- 2Department of Gastroenterology, Hepatology and Clinical Oncology, Medical Centre for Postgraduate Education, Warsaw, Poland
*Corresponding author:
Anna Pietrzak, Roentgen 5 Str, 02-781 Warsaw, Poland
Received: July 02, 2018; Published: July 09, 2018
DOI: 10.32474/CTGH.2018.01.000109
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Abstract
Iatrogenic, postoperative enteroatmospheric fistulas remain
difficult to manage but common problem after gastrointestinal
surgery. Surgical revision, after failure of conservative treatment
is not only partially efficient but also carries a high mortality risk,
mainly due to patients’ general condition and usually multiples comorbidities. Because of that alternative minimally invasive
techniques are extensively studied, but unfortunately the data are
still confounding [1,2]. We present a case of 38 – y.o. man with
past history of nephrolithiasis, accidentally diagnosed with 30 mm
gastrointestinal stromal tumour of the duodenum (Figures 1a-1c).
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