Abstract
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.
Highlights
The over-the-scope-clip (OTSC) system (Ovesco Endoscopy GmbH, Tuebingen, Germany) is a newly designed method for the mechanical compression of large areas in the gastrointestinal tract
We report the successful treatment of a gastrocutaneous fistula with closure of the gastric orifice using the OTSC system without postprocedure complications
We described a novel method to close a gastrocutaneous fistula by the application of a new endoscopic clipping system
Summary
The over-the-scope-clip (OTSC) system (Ovesco Endoscopy GmbH, Tuebingen, Germany) is a newly designed method for the mechanical compression of large areas in the gastrointestinal tract. Indications for OTSC application are hemostasis primary or postinterventional bleeding and closure of iatrogenic full-thickness or covered perforations during endoscopic mucosal resection or after natural orifice transluminal endoscopic surgery procedures (NOTES) [1]. We report the successful treatment of a gastrocutaneous fistula with closure of the gastric orifice using the OTSC system without postprocedure complications
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
