Percutaneous Gelfoam Embolization of Chronic Enterocutaneous Fistulas: Report of Three Cases

Purpose: A relatively simple radiologically guided method for the treatment of enterocutaneous fistula by gelfoam embolization is described. Methods: Three cases of chronic enterocutaneous fistula are presented. In each case, a sheath was positioned with its tip at the enteric opening of the fistula. Gelfoam was injected to occlude the fistula at its enteric opening. Results: In each case, there was successful closure of the fistula. Conclusions: Radiologically guided embolization with gelfoam is a safe, relatively simple procedure, which may be useful in the treatment of chronic enterocutaneous fistula.