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Early endoscopic closure of colocutaneous fistula adjacent to unmatured low colorectal anastomosis with the Over-The-Scope Clip (OTSC)

  • Original Article
  • Published:
Hellenic Journal of Surgery

Abstract

We herein describe the case of an 82-year-old man with colocutaneous fistula adjacent to an unmatured but intact low colorectal anastomosis after low anterior resection for rectal adenocarcinoma. Early in the course, an OTSC (Over-The-Scope Clip) was successfully placed onto the fistula’s internal orifice, with concomitant reduction in our patient’s morbidity.

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Abbreviations

ASA:

American Society of Anaesthesiologists

BMI:

Body Mass Index

NOTES:

Natural Orifice Transluminal Endoscopic Surgery

References

  1. Kirschniak A, Subotova N, Zieker D, et al. The Over-The-Scope Clip (OTSC) for the treatment of gastrointestinal bleeding, perforations, and fistulas. Surg Endosc 2011; 25:2901–5

    Article  PubMed  Google Scholar 

  2. Sandmann M, Heike M, Faehndrich M. Application of the OTSC system for the closure of fistulas, anastomosal leakages and perforations within the gastrointestinal tract. Z Gastroenterol 2011; 49:981–5

    Article  CAS  PubMed  Google Scholar 

  3. Baron TH, Song LM, Ross A, et al. Use of an over-the-scope clipping device: multicenter retrospective results of the first U.S. experience (with videos). Gastrointest Endosc 2012; 76:202–8

    Article  PubMed  Google Scholar 

  4. Weiland T, Fehlker M, Gottwald T, et al. Performance of the OTSC System in the endoscopic closure of iatrogenic gastrointestinal perforations: a systematic review. Surg Endosc 2013; 27:2258–74

    Article  PubMed  Google Scholar 

  5. Singhal S, Changela K, Papafragkakis H, et al. Over the scope clip: technique and expanding clinical applications. J Clin Gastroenterol 2013; 47:749–56

    Article  PubMed  Google Scholar 

  6. Sulz MC, Bertolini R, Frei R, et al. Multipurpose use of the over-the-scope-clip system ("Bear claw") in the gastrointestinal tract: Swiss experience in a tertiary center. World J Gastroenterol 2014; 20:16287–92

    Article  PubMed  PubMed Central  Google Scholar 

  7. Mercky P, Gonzalez JM, Aimore Bonin E, et al. Usefulness of over-the-scope clipping system for closing digestive fistulas. Dig Endosc 2015; 27:18–24

    Article  PubMed  Google Scholar 

  8. Prosst RL, Joos AK, Ehni W, et al. Prospective pilot study of anorectal fistula closure with the OTSC Proctology. Colorectal Dis 2015; 17:81–6

    Article  CAS  PubMed  Google Scholar 

  9. Mönkemüller K, Peter S, Toshniwal J, et al. Multipurpose use of the 'bear claw' (over-the-scope-clip system) to treat endoluminal gastrointestinal disorders. Dig Endosc 2014; 26:350–7

    Article  PubMed  Google Scholar 

  10. Manta R, Manno M, Bertani H, et al. Endoscopic treatment of gastrointestinal fistulas using an over-the-scope clip (OTSC) device: case series from a tertiary referral center. Endoscopy 2011; 43:545–8

    Article  CAS  PubMed  Google Scholar 

  11. Haito-Chavez Y, Law JK, Kratt T, et al. International multicenter experience with an over-the-scope clipping device for endoscopic management of GI defects (with video). Gastrointest Endosc 2014; 80:610–22

    Article  PubMed  Google Scholar 

  12. Avgoustou C, Penlidis P, Tsakpini A, et al. Compression anastomoses in colon and rectal surgery with the NiTi ColonRing™. Tech Coloproctol 2012; 16:29–35

    Article  CAS  PubMed  Google Scholar 

  13. Dişibeyaz S, Köksal AŞ, Parlak E, et al. Endoscopic closure of gastrointestinal defects with an over-the-scope clip device. A case series and review of the literature. Clin Res Hepatol Gastroenterol 2012; 36:614–21

    Article  PubMed  Google Scholar 

  14. Winder JS, Pauli EM. Comprehensive management of fullthickness luminal defects: The next frontier of gastrointestinal endoscopy. World J Gastrointest Endosc 2015; 7:758–68

    PubMed  PubMed Central  Google Scholar 

  15. Hagel AF, Naegel A, Lindner AS, et al. Over-the-scope clip application yields a high rate of closure in gastrointestinal perforations and may reduce emergency surgery. J Gastrointest Surg 2012; 16:2132–8

    Article  PubMed  Google Scholar 

  16. Lee WC, Ko WJ, Cho JH, et al. Endoscopic Treatment of Various Gastrointestinal Tract Defects with an Over-the-Scope Clip: Case Series from a Tertiary Referral Hospital. Clin Endosc 2014; 47:178–82

    Article  PubMed  PubMed Central  Google Scholar 

  17. Arezzo A, Verra M, Reddavid R, et al. Efficacy of the overthe-scope clip (OTSC) for treatment of colorectal postsurgical leaks and fistulas. Surg Endosc 2012; 26:3330–3

    Article  PubMed  Google Scholar 

  18. Mennigen R, Senninger N, Laukoetter MG. Novel treatment options for perforations of the upper gastrointestinal tract: endoscopic vacuum therapy and over-the-scope clips. World J Gastroenterol 2014; 20:7767–76

    Article  PubMed  PubMed Central  Google Scholar 

  19. Law R, Wong Kee Song LM, Irani S, et al. Immediate technical and delayed clinical outcome of fistula closure using an over-the-scope clip device. Surg Endosc 2015; 29:1781–6

    Article  PubMed  Google Scholar 

  20. Nishiyama N, Mori H, Kobara H, et al. Efficacy and safety of over-the-scope clip: including complications after endoscopic submucosal dissection. World J Gastroenterol 2013; 19:2752–60

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Constantinos Avgoustou.

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Avgoustou, C., Paraskeva, K. Early endoscopic closure of colocutaneous fistula adjacent to unmatured low colorectal anastomosis with the Over-The-Scope Clip (OTSC). Hellenic J Surg 88, 193–196 (2016). https://doi.org/10.1007/s13126-016-0314-x

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  • DOI: https://doi.org/10.1007/s13126-016-0314-x

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