Successful endoscopic closure of a gastrocutaneous fistula using a ‘Padlock Clip’

Brindley, James Hallimond; Yip, Benjamin Hon Kei; Vlachou, Erasmia; Wylie, Peter; Despott, Edward J.

doi:10.1055/s-0042-103422

Cited by 8 publications

(4 citation statements)

References 5 publications

(5 reference statements)

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“…This device is conceptually similar to the Ovesco system, but has some features which make it very attractive. Few studies have reported on the efficacy of this device in clinical practice 7 8 9 . Considering the emerging role of these devices in clinical practice, we decided to describe our experiences with this novel OTSC system in the treatment of gastrointestinal wall defects and EFTR.…”

Section: Introductionmentioning

confidence: 99%

First clinical experiences with a novel endoscopic over-the-scope clip system

et al. 2017

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We describe our experience with a new over-the-scope clip (OTSC) system (Padlock Clip?) in the treatment of 14 patients. Eight of the 14 patients were treated for closure of gastrointestinal fistulas (n?=?4), iatrogenic gastrointestinal perforations (n?=?2), or hemostasis of post-polypectomy bleeding (n?=?2). The site of clipping was the lower gastrointestinal tract in five patients and the upper gastrointestinal tract in three patients. The clip was successfully delivered in seven out of the eight patients and clinical success was achieved in all patients. Endoscopic full thickness resection (EFTR) was performed to treat six patients: four with recurrent adenoma (n?=?4), one with ulcerated nodules at ileorectal anastomosis, and one with a neuro-endocrine tumor of the rectum. A complete intestinal wall resection was achieved in three of the six patients (50?%) and an R0 resection in five of the six patients (83.3?%). No complications related to the procedure and no recurrence at endoscopic follow-up were observed in any patient. The novel Padlock Clip seems to be an effective and safe tool to treat gastrointestinal fistulas, perforations or post-polypectomy bleeding, and to perform EFTR.

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Section: Introductionmentioning

confidence: 99%

First clinical experiences with a novel endoscopic over-the-scope clip system

et al. 2017

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“…Historically, the first OTSC system introduced was the Ovesco Clips (Ovesco Endoscopy AG, Tübingen, Germany) followed by the more recently developed Padlock Clip which offered a more affordable alternative and possibly equal success in managing gastrointestinal fistulas which had no prior intervention (16)(17)(18). Additionally, there were two reported cases of failed rectovesical and rectocutaneous fistula closure with the Ovesco clips that were subsequently managed with the Padlock Clips.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic closure of a radiation induced colovesical fistula using the novel over-the-scope Padlock Clip system—a case report

Chiam¹,

Muthukaruppan²

2021

AME Surg J

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Colovesical fistulas (CVFs) are known complications of complicated diverticular disease, malignancy, and Crohn's colitis (1). With the increasing use of radiation therapy in relation to pelvic malignancies, we now have a rising incidence of benign radiation induced CVF that could potentially lead to recurrent bouts of cystitis, pyelonephritis, renal abscesses, renal impairment and systemic infection resulting from ongoing fecal contamination through the abnormal connection (2). The complications of urosepsis, in particular, carry high morbidity and mortality, and thus CVF should generally be an indication for surgical repair to avoid these problems (3). Unfortunately, not all patients are fit

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“…The use of the Padlock Clip has been described for recurrent bleeding and esophageal fistula (5 patients) [12], closure of a gastrocutaneous fistula (2 patients) [13,14], and esophageal stent fixation (1 patient) [15]. We present the largest series for its use for eFTR.…”

Section: Discussionmentioning

confidence: 99%

Colorectal endoscopic full-thickness resection using a novel, flat-base over-the-scope clip: a prospective study

et al. 2017

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Successful endoscopic closure of a gastrocutaneous fistula using a ‘Padlock Clip’

Abstract: Gastrocutaneous fistula closure using an endoscopically deployed Padlock Clip (Aponos Medical Corp., Kingston, New Hampshire, USA).

Cited by 8 publications

References 5 publications

First clinical experiences with a novel endoscopic over-the-scope clip system

First clinical experiences with a novel endoscopic over-the-scope clip system

Endoscopic closure of a radiation induced colovesical fistula using the novel over-the-scope Padlock Clip system—a case report

Colorectal endoscopic full-thickness resection using a novel, flat-base over-the-scope clip: a prospective study

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