Large esophageal fistula closure using an over-the-scope clip: two unique cases

Johnathan Zhang; Jason B Samarasena; Jeffrey Milliken; John G Lee

doi:10.1016/j.athoracsur.2013.04.125

Large esophageal fistula closure using an over-the-scope clip: two unique cases

Ann Thorac Surg. 2013 Dec;96(6):2214-6. doi: 10.1016/j.athoracsur.2013.04.125.

Authors

Johnathan Zhang¹, Jason B Samarasena, Jeffrey Milliken, John G Lee

Affiliation

¹ Department of Medicine, Division of Gastroenterology, University of California Irvine, Orange, California.

PMID: 24296187
DOI: 10.1016/j.athoracsur.2013.04.125

Abstract

Surgical repair of esophageal fistulas is complex and carries a high degree of morbidity. Endoscopic management is preferred but has been limited to closure of small fistulas in the past. The over-the-scope clip system has been used as an effective method for closure of gastrointestinal perforations. Only a few reports have shown the successful use of the over-the-scope clip system for closure of fistulas. The following are 2 unique cases of successful endoscopic esophageal fistula closure using the over-the-scope clip system.

Keywords: 8.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Endoscopes, Gastrointestinal*
Equipment Design
Esophageal Fistula / diagnosis
Esophageal Fistula / surgery*
Esophagus / pathology
Esophagus / surgery*
Female
Humans
Male
Middle Aged
Severity of Illness Index
Suture Techniques / instrumentation*