Shen SS, Zhang XQ, Li ZL, Zou XP, Ling TS. Over-the-scope clip to close a gastrocutaneous fistula after esophagectomy. World J Gastroenterol 2015; 21(47): 13396-13399 [PMID: 26715825 DOI: 10.3748/wjg.v21.i47.13396]
Corresponding Author of This Article
Ting-Sheng Ling, MD, PhD, Department of Gastroenterology, Affiliated Drum Tower Hospital of Nanjing University, Medical School, No. 321 Zhongshan Road, Nanjing 210008, Jiangsu Province, China. chinalts@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Shan-Shan Shen, Xiao-Qi Zhang, Zhen-Lei Li, Xiao-Ping Zou, Ting-Sheng Ling, Department of Gastroenterology, Affiliated Drum Tower Hospital of Nanjing University, Medical School, Nanjing 210008, Jiangsu Province, China
Author contributions: Shen SS wrote the paper and collected some of the patient’s clinical data; Li ZL administrated and followed the patient; Zhang XQ made critical revisions of the paper; Zou XP designed the operation; Ling TS performed the operation and approved the publication of the paper.
Supported by National Natural Science Foundation of China, No. 81201908.
Institutional review board statement: The case report was approved by the Ethics Committee of Nanjing Drum Tower Hospital.
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ting-Sheng Ling, MD, PhD, Department of Gastroenterology, Affiliated Drum Tower Hospital of Nanjing University, Medical School, No. 321 Zhongshan Road, Nanjing 210008, Jiangsu Province, China. chinalts@126.com
Telephone: +86-25-83304616
Received: April 19, 2015 Peer-review started: April 20, 2015 First decision: May 18, 2015 Revised: June 15, 2015 Accepted: September 13, 2015 Article in press: September 14, 2015 Published online: December 21, 2015 Processing time: 239 Days and 15.8 Hours
Abstract
Over-the-scope clip (OTSC) system is becoming a new reliable technique which is available for the endoscopic closure of fistulas, bleeding, perforations and so on. We describe the case of a patient with a non-healing gastrocutaneous fistula after esophagectomy for esophageal squamous cell carcinoma which was successfully closed using an OTSC system. This is the first report of the use of OTSC to treat a non-healing gastrocutaneous fistula successfully after esophagectomy. We believe our experience will give such patients an ideal way to cure the fistula without suffering too much and also explore new application of OTSC.
Core tip: Gastrocutaneous fistula after esophagectomy is infrequent, but it is notorious for the difficulty of achieving closure. We describe the case of a patient with a non-healing gastrocutaneous fistula after esophagectomy for esophageal squamous cell carcinoma which was successfully closed using an over-the-scope clip (OTSC) system. This is the first report of the use of OTSC to treat this type of gastrocutaneous fistula.
