Clin Endosc.  2015 Nov;48(6):576-578. 10.5946/ce.2015.48.6.576.

Successful Palliation of a Malignant Cologastric Fistula with a Covered Self-Expanding Metal Stent

Affiliations
  • 1Department of Surgical Gastroenterology, Aarhus University Hospital, Aarhus, Denmark. mathbrei@rm.dk

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.

Keyword

Cologastric; Fistula; Stents
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