Clinical study on endoscopic closure of gastrointestinal fistula using the over-the-scope-clip system
10.16571/j.cnki.1008-8199.2018.10.010
- VernacularTitle: 经内镜OTSC吻合夹闭合消化道瘘的临床研究
- Author:
Juan-juan ZHANG
1
;
Zhi-ming WANG
1
;
Yan-qing DIAO
1
;
Yong-liang ZHANG
1
;
Ge-fei WANG
1
Author Information
1. Department of General Surgery, Nanjing General Hospital of Nanjing Military Region, PLA, Nanjing 210002, Jiangsu, China
- Publication Type:Journal Article
- Keywords:
over the scope clip system;
endoscopic treatment;
gastrointestinal fistula
- From:
Journal of Medical Postgraduates
2018;31(10):1054-1056
- CountryChina
- Language:Chinese
-
Abstract:
Objective Gastrointestinal fistula is a serious complication after operation. It is reported that the over-the-scope-clip(OTSC) can close intestinal full-thickness wall and treat gastrointestinal fistula effectively. This study was to investigate the efficacy of OTSC in the treatment of gastrointestinal fistula.Methods We analyzed the clinical data of 28 postoperative patients with gastrointestinal fistula who underwent endoscopic closure using OTSC in Endoscopy Center of Research Institute of General Surgery in our hospital from October 2014 to October 2017, and recorded the course of disease, the site of gastrointestinal fistula, the diameter of fistula and the efficacy of OTSC. Patients with successful closure were followed up for half a year after hospital discharge to observe the recurrence of fistula.Results Endoscopic closure with OTSC was successful in all the 28 patients without complications like bleeding and falling off. In the sinus tract or digestive tract radiography at 1-2 weeks after OTSC closure, 23 patients were successful in endoscopic closure(82.14%). In the six months′ follow-up of 23 patients with successful treatment, 4 patients were lost to follow-up and 19 patients were successful without recurrence of fistula.Conclusion The endoscopic closure of gastrointestinal fistula using OTSC is safe and effective, avoiding reoperation and reducing trauma.
