A Prospective Evaluation of Non-Operative Treatments for Gastrocutaneous Fistulae Closure in Children
Author / Expert
Amanda Phares, Christine Adamson, Sherif Emil, Nadia Safa, Nelson Piche, Meriem Habti, Robert Baird
Topic overview
Gastrocutaneous fistulae (GCF) persist after gastrostomy removal in one third of children. Several non-surgical treatment options have been described, including the use of proton-pump inhibitors, topical fibrin glue, silver nitrate application, and collagen plugging, albeit in underpowered and uncontrolled studies. We evaluated the efficacy and tolerability of a standardized, “bundled” regimen of non-surgical therapies given immediately after gastrostomy tube removal to promote closure.
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