Successful Palliation of a Malignant Cologastric Fistula with a Covered Self-Expanding Metal Stent.
- Author:
Mathilde Therese Winther BREITENBAUCH
1
;
Anders TOTTRUP
Author Information
- Publication Type:Case Report
- Keywords: Cologastric; Fistula; Stents
- MeSH: Aged; Colon; Colon, Transverse; Fistula*; Humans; Stents*
- From:Clinical Endoscopy 2015;48(6):576-578
- CountryRepublic of Korea
- Language:English
- Abstract: When patients present with malignant cologastric fistulas, the tumor stage is often advanced and management is only palliative. We report the case of a 75-year-old man with a symptomatic cologastric fistula arising from an advanced tumor in the transverse colon, previously stented owing to malignant obstruction. An 8-cm-long covered self-expanding metal stent (COMVI enteral colonic stent; Taewoong Medical) was placed inside the primary stent, which sealed the fistula and completely alleviated the symptoms. Considering the successful outcome, we propose that insertion of a covered stent be considered in the palliative management of patients with malignant cologastric fistulas.
