PRODUCT LITERATURE
Endoscopic Fibrin Sealing of High-output Nonhealing Gastrocutaneous Fistulas after Vertical Gastroplasty in Morbidly Obese Patients
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 fibrin sealant (Beriplast P 2 ml set, Behring®) as a tissue adhesive.
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