Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy.
- Author:
Yoshihisa ARAO
1
;
Yuichi SATO
;
Satoru HASHIMOTO
;
Hiroki HONDA
;
Kazumi YOKO
;
Masaaki TAKAMURA
;
Ken ichi MIZUNO
;
Masaaki KOBAYASHI
Author Information
- Publication Type:Case Report
- Keywords: Over-the-scope clipping; Fistula; Percutaneous endoscopic gastrostomy tube; Fibrosis; Steroids
- MeSH: Eating; Female; Fibrosis; Fistula*; Gastrostomy*; Humans; Inflammation; Lupus Erythematosus, Systemic; Middle Aged; Pharyngeal Neoplasms; Prednisolone; Steroids; Wound Healing
- From:Clinical Endoscopy 2015;48(6):563-565
- CountryRepublic of Korea
- Language:English
- Abstract: A 50-year-old woman had a percutaneous endoscopic gastrostomy (PEG) tube placed after surgery for pharyngeal cancer. After 21 months, the PEG tube was removed due to improvement of per-oral ingestion. She had taken prednisolone for 31 years for systemic lupus erythematosus. The post-PEG fistula did not close spontaneously. The cause of the fistula was slow wound healing and gastrostomy site inflammation due to long-term steroid therapy. We were able to close the fistula with an over-the-scope clipping (OTSC) system. This case suggests that OTSC is useful for closing persistent post-PEG fistulas in patients receiving long-term prednisolone therapy.
