Volume 4, Issue 5, Pages (May 2019)

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Volume 4, Issue 5, Pages 203-205 (May 2019) Endoscopic closure of a refractory enterocutaneous fistula by use of a fistula plug with fixation and mucosal oversewing Betty Li, MD, Steven Shamah, MD, Eric Swei, MD, Christopher G. Chapman, MD VideoGIE Volume 4, Issue 5, Pages 203-205 (May 2019) DOI: 10.1016/j.vgie.2018.12.002 Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Endoscopic visualization of the gastric side of the fistula tract with fibrotic-appearing mucosa. VideoGIE 2019 4, 203-205DOI: (10.1016/j.vgie.2018.12.002) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Intraoperative fluoroscopic view demonstrating the fistula tract extending to an external percutaneous drain with advancement of guidewire across the tract. VideoGIE 2019 4, 203-205DOI: (10.1016/j.vgie.2018.12.002) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Endoscopic appearance of fistula plug after fixation with sutures. VideoGIE 2019 4, 203-205DOI: (10.1016/j.vgie.2018.12.002) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Approximation of the gastric and jejunal mucosa over the fistula plug (right) using endoscopic sutures. VideoGIE 2019 4, 203-205DOI: (10.1016/j.vgie.2018.12.002) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Upper-GI series demonstrating absence of the gastrocutaneous fistula after fistula plug placement of mucosal oversewing. VideoGIE 2019 4, 203-205DOI: (10.1016/j.vgie.2018.12.002) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions