title: Attempted endoscopic closure of a pancreaticocolonic fistula with an over-the-scope clip.
abstract: BACKGROUND
  Spontaneous development of fistulae is an uncommon complication of acute pancreatitis. Until recently, surgical management has been the standard of care. Endoscopic treatment has been described with hemoclips and glue.
  
  
  METHODS
  We report a case of a gentleman with a history of recurrent episodes of acute pancreatitis who presented with symptoms correlating with the development of a pancreatic-colonic fistula. Closure of the fistula was attempted with an over-the-scope clip.
  
  
  CONCLUSIONS
  More evidence is needed to determine criteria for use of over-the-scope clip in closure of GI and pancreatic fistulae.
authors.affiliation: Department of Medicine, Washington University School of Medicine. St. Louis, MO, USA. dgray@dom.wustl.edu
authors.forename: Darrell M
authors.initials: DM
authors.lastname: Gray
authors.forename: Daniel K
authors.initials: DK
authors.lastname: Mullady
mesh_terms: D000208:Acute Disease; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003108:Colonic Diseases / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010185:Pancreatic Fistula / Q000601:surgery*; D010195:Pancreatitis / Q000150:complications*