title: Endoscopic hole and clipping technique: a novel technique for closing the wide orifice of a postoperative fistula.
abstract: BACKGROUND
  Endoscopic clipping for closing a fistula created by surgery is often difficult because of the combination of a wide orifice and fibrosis. Creating holes for prongs of a clip may constitute a new endoscopic clipping technique for closing the wide orifice of a fistula.
  
  
  OBJECTIVE
  To assess the feasibility of performing the endoscopic hole and clipping technique (EHCT).
  
  
  METHODS
  Experimental pilot study.
  
  
  METHODS
  Tertiary-care referral center.
  
  
  METHODS
  This study involved 1 patient who underwent EHCT.
  
  
  METHODS
  EHCT was performed.
  
  
  METHODS
  Technical success and procedural complications of EHCT.
  
  
  RESULTS
  Immediately after the procedure, drainage decreased dramatically and finally decreased to 0 mL/d. There was no evidence of a leak on fluoroscopic examination, and upon 4-month follow-up, we found that no symptoms had developed in the patient.
  
  
  CONCLUSIONS
  Single-patient pilot study.
  
  
  CONCLUSIONS
  EHCT is very simple and efficient. EHCT can be applied as a means of closing the orifice of a postoperative fistula that is not easily managed by simple endoscopic clipping.
authors.affiliation: Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea. drhhkim@gmail.com
authors.forename: Hyung Hun
authors.initials: HH
authors.lastname: Kim
authors.forename: Seun Ja
authors.initials: SJ
authors.lastname: Park
authors.forename: Moo In
authors.initials: MI
authors.lastname: Park
authors.forename: Won
authors.initials: W
authors.lastname: Moon
mesh_terms: D005743:Gastrectomy / Q000009:adverse effects; D005747:Gastric Fistula / Q000209:etiology / Q000628:therapy*; D005773:Gastroscopy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000601:surgery*