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Case Reports
. 2015 Jul 17:13:219.
doi: 10.1186/s12957-015-0628-0.

The over-the-scope clipping system for treatment of chronic coloenteric fistula: a case report

Gintautas Radziunas  1 , Audrius Dulskas  2 , Oleg Aliosin  3 , Raimundas Lunevicius  4 , Narimantas E Samalavicius  3   5
Affiliations
Case Reports

The over-the-scope clipping system for treatment of chronic coloenteric fistula: a case report

Gintautas Radziunas et al. World J Surg Oncol. .

Abstract

Anastomotic leak in colorectal surgery is not very unusual. The over-the-scope clipping (OTSC) system (Ovesco), which was originally developed to treat intestinal perforation and was tested with animals, might be the choice for the patient. We presented the case of a 63-year-old man with chronic coloenteric fistula. Conservative treatment was unsuccessful. The orifice was then closed with two subsequent clips, and the patient recovered well. To our knowledge, this is the first successful case of coloenteric fistula treatment with Ovesco.

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Figures

Fig. 1
Fig. 1
Contrast radiography showing a cave of 10 × 9 × 4 cm and a defect of about 1.5 cm before intervention (a, arrows) and after applying the OTSC (b)
Fig. 2
Fig. 2
Same anastomotic defect seen on endoscopic evaluation
See this image and copyright information in PMC

References

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