Endoscopic closure of gastric tube perforations with titanium clips: a four-case report
نویسندگان
چکیده
Perforation of a gastric tube is a rare yet lethal complication after esophagectomy for esophageal cancer treatment. Currently, over-the-scope clip (OTSC) is an effective way to treat gastric tube perforation. Due to the lack of OTSCs, we invented an alternative method composed of a titanium clip and gastroscope. The aim of this study was to describe this novel endoscopic device in the treatment of gastric tube perforation. We used a titanium clip system to treat 4 male patients (range, 53 to 77 years with gastric tube perforation. After the location of the perforation was identified by gastroscope, a titanium endoscopic clip was used to close the perforation. Successful closure of the gastric tube perforation was achieved in three patients while in one patient this failed due to his refusal to undergo reoperation. No postoperative complication was found in the three patients whose perforations were closed and the patient who refused reoperation died due to the reoccurrence of his esophago-cardiac carcinoma. The endoscopic system composed of titanium clip and gastroscope proved to be an efficient and effective device in the treatment of the patients with gastric tube perforations.
منابع مشابه
Endoscopic clips for closing esophageal perforations: case report and pooled analysis.
BACKGROUND Acute and chronic esophageal perforations have traditionally been treated with surgery or a conservative approach. Recently, endoscopic repair has been reported in some case reports. OBJECTIVE To describe a case of a chronic esophagoperitoneal fistula successfully closed by endoscopic clips after several failed reoperations and stent placement. To perform a pooled analysis of the r...
متن کاملOver-the-scope clip to close a fistula after removing a percutaneous endoscopic gastrostomy tube.
(PEG) feeding is indicated in patients with increased nutritional requirements, such as patients with cystic fibrosis [1]. Refractory gastrocutaneous fistulas are a recognised complication following PEG tube removal. We describe the case of a patient with a nonhealing gastrocutaneous fistula that was successfully closed using an over-the-scope clip (OTSC). Following PEG tube removal, a patient ...
متن کاملOver-the-scope-clip closure of long lasting gastrocutaneous fistula after percutaneous endoscopic gastrostomy tube removal in immunocompromised patients: A single center case series
Over-the-scope-clips (OTSC®) have been shown to be an effective and safe endoscopic treatment option for the closure of gastrointestinal perforations, leakages and fistulae. Indications for endoscopic OTSC® treatment have grown in number and also include gastro cutaneous fistula (GCF) after percutaneous endoscopic gastrostomy (PEG) tube removal. Non-healing GCF is a rare complication after remo...
متن کاملEfficacy of Endoscopic Clips in the Treatment of Gastrocutaneous Fistulas Following Gastrostomy Tube Removal
Background: Persistent gastrocutaneous fistula (GCF) following percutaneous endoscopic gastrostomy (PEG) tube removal often require surgical intervention for successful closure which increases the morbidity and mortality associated with this condition. The growing use of endoscopic clips to close fistulas has become an effective and less invasive treatment modality. We report successful closure...
متن کاملA new in vivo method for testing closures of gastric NOTES incisions using leak of the closure or gastric yield as endpoints.
BACKGROUND We developed a non-survival in vivo model for testing of gastric natural orifice translumenal endoscopic surgery (NOTES) closures based on the gastric yield pressure. The aim of this study was to test our model comparing different endoscopic closure techniques with surgical closure of a NOTES gastric incision. METHODS Laparotomy was performed in 30 pigs. One tube for air inflation ...
متن کامل