Endoscopic Treatment of a Gastrocutaneous Fistula Using the Over-The-Scope-Clip System: A Case Report | Zendy

Georgios Kouklakis | Zendy; Petros Zezos | Zendy; Nikolaos Liratzopoulos | Zendy; Anthia Gatopoulou | Zendy; Anastasia Oikonomou | Zendy; Μichail Pitiakoudis | Zendy; Eleni Efremidou | Zendy; Constantinos Simopoulos | Zendy

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Endoscopic Treatment of a Gastrocutaneous Fistula Using the Over-The-Scope-Clip System: A Case Report

Author(s) -

Georgios Kouklakis,

Petros Zezos,

Nikolaos Liratzopoulos,

Anthia Gatopoulou,

Anastasia Oikonomou,

Μichail Pitiakoudis,

Eleni Efremidou,

Constantinos Simopoulos

Publication year - 2011

Publication title -

diagnostic and therapeutic endoscopy

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.158

H-Index - 24

eISSN - 1029-0516

pISSN - 1026-714X

DOI - 10.1155/2011/384143

Subject(s) - medicine , fistula , surgery , endoscopy , hemostasis , gastrointestinal bleeding

The over-the-scope-clip (OTSC; Ovesco Endoscopy GmbH, Tuebingen, Germany) system is a newly designed method for the mechanical compression of large areas in the gastrointestinal tract. So far, indications for OTSC application are hemostasis of primary or postinterventional bleeding, closure of iatrogenic full-thickness or covered perforations. Recently closure of gastrointestinal tract fistulas using this device has been described. A 44-year-old man developed a gastrocutaneous fistula after surgical treatment for a perforated gastric ulcer. We describe the successful endoscopic closure of the fistula using the OTSC system. The patient's clinical followup was uneventful. Fistula closure was successfully implemented as it was documented by imaging and endoscopic examinations performed on the 2nd day and 6th week after the application of the clip. Endoscopic application of the OTSC device was safe and effective for the treatment of a gastrocutaneous fistula.

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