This video shows laparoscopic management of chronic gastrocutaneous fistula to a 38 year old male after partial gastrectomy and gastrojejunostomy. A gastrocutaneous fistula (GCF) represents a fistula connecting the stomach and the skin. By definition, it consists of an internal orifice (gastric outlet), an external orifice (cutaneous outlet) and a tract (usually covered by epithelium). A GCF is a rare and difficult to treat complication accounting for 0.5–3.9% of the normal-weight patients undergoing gastric surgery. The pathogenetic mechanism implied in the formation of GCF is not universal, and is relative to the underlying etiologic factor. Video by E Lo Menzo, MD, PhD.
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