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Novel use of a self-expandable metal stent for management of a nonhealing gastrostomy site (with videos)

Published:February 28, 2022DOI:https://doi.org/10.1016/j.gie.2022.02.047
      A 62-year-old man underwent heart transplantation with surgical placement of a gastrostomy tube. The tube was dislodged 10 days later, with pneumoperitoneum representing a disconnected immature tract. Wedge resection of the tract and placement of a new gastrostomy tube with jejunal extension was performed. A midline wound formed around the gastrostomy site, leading to dehiscence, repeated debridement, and placement of retention sutures (A). A resultant fistula from the gastrostomy toward the midline wound prevented healing.
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