Successful management of a chronic post-surgical gastrocutaneous fistula using as a route for enteral feeding tube placement: A case report

Abstract

Gastrocutaneous fistula is a rare complication of gastric surgery and difficult to manage. Because only 6% of cases close spontaneously, surgical or endoscopic repair is usually required. However, in older patients who are often ineligible for aggressive treatment, more conservative treatment options are needed. Herein, we report a case of a chronic gastrocutaneous fistula secondary to distal gastrectomy with Roux-en-Y gastrojejunostomy performed 5 years prior that was managed with intestinal feeding tube insertion through the fistula tract.

Keywords

• anastomotic leak; cutaneous fistula; gastric bypass