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Figure 1

From: Combined endoscopic-percutaneous treatment of upper gastrointestinal enterocutaneous fistula using vacuum therapy and resorbable plug insertion (Vac-Plug)

Figure 1

(A) Anastomotic leak with a percutaneous fistula. (B) Endoscopic plug implantation into the fistula orifice. (C) Percutaneous and fistuloscopically placed under pressure therapy with open-pore film drainage. (D) Separation of the plug plate and continuation of the vacuum therapy until closure of the orifice. (E) Avoidance of premature skin closure by implantation of a shortened und inverted PEG tube. (F) Removal of the PEG and final state.

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