• 2012
  • 2012

December 2012 | Closure of anastomotic leaks and chronic fistulas in the digestive tract: best results

Dr. Selcuk Disibeyaz and co-authors, Department of Gastroenterology of Türkiye Ihtisias Hospital, Ankara, report about their case series of 9 patients (age 22-65 years). Anastomotic leakage from GI surgical anastomosis was present in 5, fistula in 3 and acute perforation in 1 patient. Type "a" clips were placed in all cases. In 4 cases clip deployment was not undertaken, due to strong tissue fibrosis. In the other 5 patients the clip was successfully deployed and closed the defect without the need of further treatment. The median time between diagnosis of the defect and OTSC clip placement was 35 (20-80 days) days in the cases with successful placement and 70 days (38-94 days) in the unsuccessful cases. The median defect size was 15 mm (5-20 mm). In 4 cases clip deployment was not undertaken, due to strong tissue fibrosis. No clip-related complications were encountered.

Endoscopic closure of gastrointestinal defects with an over-the-scope clip device. A case series and review of the literature 
Disibeyaz S, Köksal AS, Parlak E, Torun S, Sasmaz N. 
Clin Res Hepatol Gastroenterol. 2012 Dec;36(6):614-21 [Epub 2012 Jun 14]