Fig. 1

Surgical findings. A gastrocutaneous fistula (yellow arrow) (a) was observed in the epigastric region. A gastrostomy was noted on the left hypochondrium (yellow arrowhead) (a). Laparotomy with a midline abdomen was performed to avoid a gastrocutaneous fistula (yellow arrow). Severe intra-abdominal adhesions were observed (b). Resection of the stomach on the anal (c, yellow arrow; gastrocutaneous fistula) and oral sides (d) was performed. Roux-en-Y anastomosis was performed (e). Open abdomen management was performed with ABThera™ (f). A fistula was found on the anterior side of the antrum of the stomach (g)