Endoscopic Fibrin Sealing of High-output Nonhealing Gastrocutaneous Fistulas …

In 2 out of 215 morbidly obese patients who underwent vertical banded gastroplasty, a nonhealing gastrocutaneus fistula (GCF) developed. In both patients sepsis occurred, caused by a leak of the posterior gastric wall, which was managed bymeans of an unsuccessful reoperation. After that, sepsis recurred, and a non-healing GCF developed. These GCF were managed endoscopically by the use of a fi…