Endoscopic closure of a gastric perforation using mucosal adaptative ring to close endoscopic artificial ulcer: the MARCEAU system

Endoscopic management of hepaticojejunal anastomosis fistula after Whipple’s resection

“…The next stage of endoscopic treatment was performed. Ulcers were covered by mucosal folds using long clips (Olympus HX-610-135L) 1 2 5 . The tip of the drainage tube was adjusted to ensure low pressure in the HJA fistula, but was able to drain the abscess cavity.…”

Endoscopic closure of a rectovaginal fistula following surgery for endometriosis using the MARCEAU system

“…As reported in a recent multicenter study, the novel "fistula endoscopic submucosal dissection with clip closure" (FESDC) strategy is safe and feasible for endoscopic closure of gastrointestinal fistulas [3]; however, in our population, the technical success does not exceed 70 % in naïve fistulas. We previously reported the optimal results of a new closure device called the "mucosal adaptative ring to close endoscopic artificial ulcer" (MAR-CEAU) in endoscopic leak closure at the ulcer bed after endoscopic submucosal dissection (ESD) and persistent gastrocutaneous fistulas after percutaneous endoscopic gastrotomy [4,5]. This strategy has not previously been used for gynecological fistulas.…”