Efficacy of over-the-scope clip for gastrointestinal fistula / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
;
(12): 79-83, 2017.
Article
in Chinese
| WPRIM
| ID: wpr-303906
ABSTRACT
<p><b>OBJECTIVE</b>To explore the efficacy of over-the-scope clip (OTSC) in the treatment of gastrointestinal fistula.</p><p><b>METHODS</b>Clinical data of 12 gastrointestinal fistula patients, including 3 internal fistula and 9 external fistula treated with OTSC in our institute from March 2015 to May 2016 were retrospectively analyzed. OTSC was performed when pus was drained thoroughly and intra-abdominal infection around gastrointestinal fistula was controlled, and each patient received one clip to close fistula.</p><p><b>RESULTS</b>There were 6 female and 6 male patients with mean age of (50.1±12.6) years. The successful rate of endoscopic closure was 100% without complications including bleeding and intestinal obstruction during and after OTSC treatment. According to comprehensive evaluation, including drainage without digestive juices, no recurrence of intra-abdominal infection, no overflow of contrast medium during digestive tract radiography, and CT examination without intra-abdominal abscess, clinical gastrointestinal fistula closure was 91.7%(11/12). There was no recurrence of gastrointestinal fistula during 3 months of follow-up in 11 patients. In the remaining 1 case, the gastric fistula after laparoscopic sleeve gastrectomy recurred one week after OTSC treatment because of intra-abdominal infection surrounding fistula, and was cured by surgery finally.</p><p><b>CONCLUSION</b>The endoscopic closure treatment of OTSC for gastrointestinal fistula is successful and effective, and control of intra-abdominal infection around fistula with adequate drainage is the key point.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Suppuration
/
General Surgery
/
Therapeutics
/
Drainage
/
Retrospective Studies
/
Digestive System Fistula
/
Endoscopy, Gastrointestinal
/
Drug Therapy
/
Surgical Fixation Devices
Type of study:
Observational study
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Gastrointestinal Surgery
Year:
2017
Type:
Article
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