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Endoscopic management of GI fistulae with the over-the-scope clip system (with video)

2011; Elsevier BV; Volume: 74; Issue: 6 Linguagem: Inglês

10.1016/j.gie.2011.08.011

1097-6779

Monica Surace, Pascale Mercky, Jean-François Demarquay, Jean‐Michel Gonzalez, R. Dumas, Philippe Ah‐Soune, Véronique Vitton, Jean–Charles Grimaud, Marc Barthet,

Gastrointestinal disorders and treatments

Fistulae, generally those occurring after bariatric surgery, could be treated with the use of endoclips, covered self-expandable metal stents, and glue, although these options have several limitations, with many fistula recurrences. 1 Iacopini F. Lorenzo N. Altorio F. et al. Over the scope clip closure of two chronic fistulas after gastric band penetration. World J Gastroenterol. 2010; 16: 1665-1669 Crossref PubMed Scopus (52) Google Scholar , 2 Parodi A. Repici A. Pedroni A. et al. Endoscopic management of GI perforations with a new over the scope clip device. Gastrointest Endosc. 2010; 4: 881-886 Abstract Full Text Full Text PDF Scopus (150) Google Scholar , 3 Eisendrath P. Cremer M. Himpens J. et al. Endotherapy including temporary stenting of fistulas of the upper gastrointestinal tract after laparoscopic bariatric surgery. Endoscopy. 2007; 39: 625-630 Crossref PubMed Scopus (197) Google Scholar , 4 Bège T. Emungania O. Viton V. et al. An endoscopic strategy for management of anastomotic complications from bariatric surgery: a prospective study. Gastrointest Endosc. 2011; 73: 238-244 Abstract Full Text Full Text PDF PubMed Scopus (114) Google Scholar , 5 Amrani L. Ménard C. Berdah S. et al. From iatrogenic digestive perforation to complete anastomotic disunion: endoscopic stenting as a new concept of “stent-guided regeneration and re-epithelialization.”. Gastrointest Endosc. 2009; 69: 1282-1287 Abstract Full Text Full Text PDF PubMed Scopus (59) Google Scholar Stent migration, inadequate closure of the leak by clipping, or difficult stent removal occurred in more than half of the cases. 4 Bège T. Emungania O. Viton V. et al. An endoscopic strategy for management of anastomotic complications from bariatric surgery: a prospective study. Gastrointest Endosc. 2011; 73: 238-244 Abstract Full Text Full Text PDF PubMed Scopus (114) Google Scholar