Endoscopic management of GI fistulae with the over-the-scope clip system (with video)

Efficacy of the endoscopic management of postoperative fistulas of leakages after esophageal surgery for cancer: a retrospective series

“…In addition, 77 % of our patients were hospitalized in intensive care unit in severe clinical condition that may have impacted on the final efficacy. More interestingly, we notice that the primary and final efficacy is consistent with our previously published studies about upper GI fistulas' management in other indications such as postsleeve gastrectomy fistulas [29,30]. Also, among the 126 operated patients, we noted a trend toward Akiyama compared to Lewis-Santy surgery in terms of complication rate (43.2 vs 29.4 %, respectively; p = 0.135).…”

Gastro-bronchial fistula closed by endoscopic fistula plug (with video)

“…However, regular endoscopic clips have been useful in closing acute small perforations [11,31], but did not show much success for large chronic fibrotic fistulae [32]. In contrast, larger overthe-scope clips have been designed to achieve full-thickness closures and have had higher success in a limited series of acute and chronic cases [10,33]. Even greater success can be achieved with de-epithelialization of the fistula using cytology brush or energy sources before applying the clips [34].…”

Management of gastrointestinal tract perforations

“…Four relevant studies have highlighted the efficacy of OTSCs with a total success rate of greater than 95% (22 patients). [24][25][26][27] The closure process for an OTSC is as follows. 28 (1) The center of one of the lateral edges of the perforation is grasped using one arm of the OTSC Twin Grasper.…”