title: Large esophageal fistula closure using an over-the-scope clip: two unique cases.
abstract: Surgical repair of esophageal fistulas is complex and carries a high degree of morbidity. Endoscopic management is preferred but has been limited to closure of small fistulas in the past. The over-the-scope clip system has been used as an effective method for closure of gastrointestinal perforations. Only a few reports have shown the successful use of the over-the-scope clip system for closure of fistulas. The following are 2 unique cases of successful endoscopic esophageal fistula closure using the over-the-scope clip system.
authors.affiliation: Department of Medicine, Division of Gastroenterology, University of California Irvine, Orange, California.
authors.forename: Johnathan
authors.initials: J
authors.lastname: Zhang
authors.forename: Jason B
authors.initials: JB
authors.lastname: Samarasena
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Milliken
authors.forename: John G
authors.initials: JG
authors.lastname: Lee
mesh_terms: D000369:Aged, 80 and over; D020776:Endoscopes, Gastrointestinal; D004867:Equipment Design; D004937:Esophageal Fistula / Q000175:diagnosis / Q000601:surgery*; D004947:Esophagus / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D013536:Suture Techniques / Q000295:instrumentation*
keywords: 8