Percutaneous endoscopic suturing is an alternative treatment for persistent gastrocutaneous post-PEG fistula

Rev Esp Enferm Dig. 2011 Jun;103(6):328-31.


Persistent gastrocutaneous fistula after the removal of a gastrostomy tube is an unusual complication associated with percutaneous endoscopic gastrostomy (PEG). Surgical closure has been usually the treatment of choice. Several endoscopic methods have been previously attempted to close the fistula, usually with poor results. We report a successful case of percutaneous endoscopic suturing of a persistent gastrocutaneous post-PEG fistula, using a monofilament absorbable suture. A biopsy forceps was used to deepithelialize both ends of the fistulous tract to promote granulation tissue formation. The gastrocutaneous fistula closed completely after the procedure and there were no complications during the follow-up.

Publication types

  • Case Reports

MeSH terms

  • Carcinoma, Squamous Cell / drug therapy
  • Carcinoma, Squamous Cell / radiotherapy
  • Carcinoma, Squamous Cell / surgery
  • Combined Modality Therapy
  • Cutaneous Fistula / drug therapy
  • Cutaneous Fistula / etiology
  • Cutaneous Fistula / surgery*
  • Endoscopy / methods*
  • Gastric Fistula / drug therapy
  • Gastric Fistula / etiology
  • Gastric Fistula / surgery*
  • Gastrostomy / adverse effects*
  • Humans
  • Laryngeal Neoplasms / drug therapy
  • Laryngeal Neoplasms / radiotherapy
  • Laryngeal Neoplasms / surgery
  • Male
  • Middle Aged
  • Proton Pump Inhibitors / therapeutic use
  • Suture Techniques*
  • Wound Healing


  • Proton Pump Inhibitors