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ISSN: 2641-1652

Current Trends in Gastroenterology and Hepatology

Case Report(ISSN: 2641-1652)

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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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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