Percutaneous treatment of a gastrocutaneous fistula after gastrostomy tube removal

Gastrocutaneous fistula formation is a potential complication resulting from nonsurgical gastrostomy or gastrojejunostomy tube removal. Limited success in conservative treatment has been achieved with either mechanical obstruction of the tract or pharmacologically based increase in gastric pH and improvement of gastric emptying. A case of successful conservative percutaneous treatment of a gastrocutaneous fistula with use of the sequence of initial tract de-epithelialization followed by direct tract sclerosis and mechanical obstruction is presented in this article.