A Case of Intractable Jejunocutaneous Fistula Treated by  Negative‐Pressure Wound Therapy and Fistuloclysis

Hirose, Wataru; Murakami, Kazushige; Usuda, Masahiro; Suzuki, On; Narita, Tomohiro; Teshima, Jin; Hara, Yasuyuki; Kamiya, Kurodo; Fujio, Atsushi; Miyata, Go

doi:10.11638/jssmn.54.2_92

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“…The clinical features of these cases are comparable to those of the present case and usage of polyglycolic acid sheets would likely have been effective in the absence of gastrointestinal stenosis. Non-invasive treatment using negative pressure wound therapy and fistuloclysis has previously been reported to be effective for the treatment of intractable jejunocutaneous fistulas ( 13 ). However, these procedures take time to completely heal the fistula and thus may not be suitable for patients with carcinoma and a limited life expectancy, as in the present case.…”

Section: Discussionmentioning

confidence: 99%

Treating an Intractable Jejunocutaneous Fistula by Endoscopic Metallic Stent Placement: A Case Report of Successful Palliative Endoscopic Treatment in a Case Demonstrating Peritoneal Dissemination with Terminal Stage Gastric Cancer

Tanaka

Sugawara

et al. 2022

Intern. Med.

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A 74-year-old woman with recurrent gastric cancer underwent laparotomy for peritoneal dissemination, and the damaged jejunum formed a jejunocutaneous fistula. Because conservative treatment alone could not cure the fistula, we performed an endoscopic placement of a partially covered self-expandable metallic stent (SEMS) to cover the fistula. After the procedure, the contrast medium no longer leaked from the intestinal lumen. One month after stent placement, the cutaneous opening had closed. This case report demonstrates the potential for using partially covered SEMS to treat intractable jejunocutaneous fistula in patients with terminal-stage malignant tumors.

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Section: Discussionmentioning

confidence: 99%