title: Over-the-scope clip to close a gastrocutaneous fistula after esophagectomy.
abstract: Over-the-scope clip (OTSC) system is becoming a new reliable technique which is available for the endoscopic closure of fistulas, bleeding, perforations and so on. We describe the case of a patient with a non-healing gastrocutaneous fistula after esophagectomy for esophageal squamous cell carcinoma which was successfully closed using an OTSC system. This is the first report of the use of OTSC to treat a non-healing gastrocutaneous fistula successfully after esophagectomy. We believe our experience will give such patients an ideal way to cure the fistula without suffering too much and also explore new application of OTSC.
authors.affiliation: Shan-Shan Shen, Xiao-Qi Zhang, Zhen-Lei Li, Xiao-Ping Zou, Ting-Sheng Ling, Department of Gastroenterology, Affiliated Drum Tower Hospital of Nanjing University, Medical School, Nanjing 210008, Jiangsu Province, China.
authors.forename: Shan-Shan
authors.initials: SS
authors.lastname: Shen
authors.affiliation: Shan-Shan Shen, Xiao-Qi Zhang, Zhen-Lei Li, Xiao-Ping Zou, Ting-Sheng Ling, Department of Gastroenterology, Affiliated Drum Tower Hospital of Nanjing University, Medical School, Nanjing 210008, Jiangsu Province, China.
authors.forename: Xiao-Qi
authors.initials: XQ
authors.lastname: Zhang
authors.affiliation: Shan-Shan Shen, Xiao-Qi Zhang, Zhen-Lei Li, Xiao-Ping Zou, Ting-Sheng Ling, Department of Gastroenterology, Affiliated Drum Tower Hospital of Nanjing University, Medical School, Nanjing 210008, Jiangsu Province, China.
authors.forename: Zhen-Lei
authors.initials: ZL
authors.lastname: Li
authors.affiliation: Shan-Shan Shen, Xiao-Qi Zhang, Zhen-Lei Li, Xiao-Ping Zou, Ting-Sheng Ling, Department of Gastroenterology, Affiliated Drum Tower Hospital of Nanjing University, Medical School, Nanjing 210008, Jiangsu Province, China.
authors.forename: Xiao-Ping
authors.initials: XP
authors.lastname: Zou
authors.affiliation: Shan-Shan Shen, Xiao-Qi Zhang, Zhen-Lei Li, Xiao-Ping Zou, Ting-Sheng Ling, Department of Gastroenterology, Affiliated Drum Tower Hospital of Nanjing University, Medical School, Nanjing 210008, Jiangsu Province, China.
authors.forename: Ting-Sheng
authors.initials: TS
authors.lastname: Ling
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D017577:Cutaneous Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D004867:Equipment Design; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D000077277:Esophageal Squamous Cell Carcinoma; D016629:Esophagectomy / Q000009:adverse effects*; D004945:Esophagoscopy / Q000295:instrumentation*; D005747:Gastric Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013525:Surgical Instruments; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing
keywords: Digestive endoscopy; Esophageal squamous cell carcinoma; Gastrocutaneous fistula; Over-the-scope clip