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Endoscopic closure of colonic fistulas in colon cancer patients using a combination of hemoclips and endoloops: two case reports

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Abstract

Chronic colon fistulas, which commonly result from operative complications, are generally managed surgically. We present an endoscopic technique of fistula closure that involves the combined use of hemoclips and endoloops. Two consecutive patients with colonic fistulas that were refractory to conservative treatment were successfully managed with this new endoluminal technique. This minimally invasive treatment modality affords accurate localization of the fistula orifice and results in a low mortality and morbidity rates.

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Acknowledgments

The present study was supported by an Excellence for Cancer Research Center Grant (DOH101-TD-C-111-002) through funding by the Department of Health, Executive Yuan.

Conflict of interest

The authors declare that no conflict of interest exists.

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Authors and Affiliations

  1. Division of Gastrointestinal and General Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

    C.-H. Su, H.-L. Tsai & J.-Y. Wang

  2. Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

    F.-J. Yu

  3. Division of General Surgery Medicine, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

    H.-L. Tsai

  4. Program of Bachelor of Health, School of Medical and Health Sciences, Fooyin University, Kaohsiung, Taiwan

    H.-L. Tsai

  5. Department of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

    J.-Y. Wang

Authors
  1. C.-H. Su
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  2. F.-J. Yu
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  3. H.-L. Tsai
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  4. J.-Y. Wang
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Corresponding author

Correspondence to J.-Y. Wang.

Additional information

C.-H. Su and F.-J. Yu contributed equally to this work.

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Su, CH., Yu, FJ., Tsai, HL. et al. Endoscopic closure of colonic fistulas in colon cancer patients using a combination of hemoclips and endoloops: two case reports. Tech Coloproctol 18, 205–208 (2014). https://doi.org/10.1007/s10151-011-0793-2

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  • DOI: https://doi.org/10.1007/s10151-011-0793-2

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