Case report demonstrates successful gastropleural fistula closure via endoscopic suturing and thoracostomy vacuum therapy, highlighting a minimally invasive management option.
Gastropleural fistula (GPF) is a rare disease characterized by fistulous tract between gastric and pleural cavities via the diaphragm. The authors present diagnosis and comprehensive treatment of a patient with GPF. Endoscopic closure of gastric wall defect using the Apollo OverStitch device for intraluminal suturing followed by video-assisted argon plasma coagulation (VAP) of cavity walls through thoracostomy and placement of vacuum aspiration system resulted in a positive clinical outcome in a patient with delayed postoperative complication.
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Teterin et al. (2026) studied this question.
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