title: Endoscopic treatment of a gastrocutaneous fistula using the over-the-scope-clip system: a case report.
abstract: The over-the-scope-clip (OTSC; Ovesco Endoscopy GmbH, Tuebingen, Germany) system is a newly designed method for the mechanical compression of large areas in the gastrointestinal tract. So far, indications for OTSC application are hemostasis of primary or postinterventional bleeding, closure of iatrogenic full-thickness or covered perforations. Recently closure of gastrointestinal tract fistulas using this device has been described. A 44-year-old man developed a gastrocutaneous fistula after surgical treatment for a perforated gastric ulcer. We describe the successful endoscopic closure of the fistula using the OTSC system. The patient's clinical followup was uneventful. Fistula closure was successfully implemented as it was documented by imaging and endoscopic examinations performed on the 2nd day and 6th week after the application of the clip. Endoscopic application of the OTSC device was safe and effective for the treatment of a gastrocutaneous fistula.
authors: Endoscopy Unit, University General Hospital of Alexandroupolis, Democritus University of Thrace, Dragana 68100, Alexandroupolis, Greece.
authors: Georgios
authors: G
authors: Kouklakis
authors: Petros
authors: P
authors: Zezos
authors: Nikolaos
authors: N
authors: Liratzopoulos
authors: Anthia
authors: A
authors: Gatopoulou
authors: Anastasia
authors: A
authors: Oikonomou
authors: Michail
authors: M
authors: Pitiakoudis
authors: Eleni
authors: E
authors: Efremidou
authors: Constantinos
authors: C
authors: Simopoulos