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KMID : 1038120150480060576
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Clinical Endoscopy
2015 Volume.48 No. 6 p.576 ~ p.578
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Successful Palliation of a Malignant Cologastric Fistula with a Covered Self-Expanding Metal Stent
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Breitenbauch Mathilde Therese Winther
Tøttrup Anders
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Abstract
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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.
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KEYWORD
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Cologastric, Fistula, Stents
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