PALLIATION OF A MALIGNANT GASTROCOLIC FISTULA ENDOSCOPIC HUMAN FIBRINSEALANT INJECTION

We report the case of a female patient with Hodgkin's disease resistan t to therapy who developed a gastrocolic fistula as a consequence of h er disease, leading to distressing faeculent vomiting. This was not co nsidered to be amenable to surgical resection and her symptoms were su ccessfully palliated endoscopically using injection of human fibrin se alant into the gastric and colonic aspect of the fistula tract. Both m echanical sealing and promotion of healing by human fibrin sealant are likely to be responsible for its efficacy.