Endoscopic closure of a gastrocolic fistula using the over-the-scope-clip-system

被引：1

作者：

Klaus Mnkemüller ^{[1
]}

Shajan Peter ^{[1
]}

Basem Alkurdi ^{[1
]}

Jayapal Ramesh ^{[1
]}

Daniel Popa ^{[1
]}

C Mel Wilcox ^{[1
]}

机构：

[1] Division of Gastroen-terology and Hepatology, Basil Hirschowitz Endoscopic Center of Excellence, University of Alabama at Birmingham

来源：

World Journal of Gastrointestinal Endoscopy | 2013年 / 08期

关键词：

Over-the-scope-clip; Bear claw; Fistula; Endoscopic closure; Gastrocolic fistula; Over the scope clip; Clip;

D O I：

暂无

中图分类号：

R656 [腹部外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Gastrointestinal (GI) defects such as fistulas and leaks can be potentially closed endoscopically using hemo-clips and loops. However, hemoclips may not allow for closure of large defects and they do not exert enough tensile force to keep fibrotic defects larger than 5 mm approximated. Herein we present a case of successful endoscopic closure of a gastrocolic fistula in a severely malnourished patient with complex post-surgical upper GI anatomy. We strongly believe that this device is a major breakthrough for the management of various types of discontinuity defects or fistulas. In addition, we show the usefulness of placing a direct jejunostomy using the double balloon enteroscopy (DBE) technique during the same procedure. The concept of providing direct jejunal feedings while allowing for upper gas-trointestinal bowel rest to promote the healing of the minimally invasive endoscopic operation is novel. Thus, our case is unique and exemplifies the utility of mini-mally invasive endoscopic endoluminal surgery.

引用

页码：402 / 406

页数：5

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