PMC3959926_01
(A) Endoscopic appearance of the external migration and projection of the jejunal extension of the new percutaneous endoscopic gastrostomy (PEG) tube (black arrow) through the old PEG site (white arrow) (B) Over-the-scope clip successfully applied to close the old percutaneous endoscopic gastrostomy site (gastrocutaneous fistula) from the inside
AnnGastroenterol-26-163-g001.jpg
PMC3959926_01_AnnGastroenterol-26-163-g001.jpg
F1
Abdominal inspection revealed external projection of the 'J' extension from the abdominal wall through the old PEG site and endoscopy confirmed the unusual finding (Fig. 1A). Eventually an over-the-scope (OVESCO) clip was applied endoscopically to close the gastrocuteneous fistula and the leakage stopped (Fig. 1B).