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使用套扎器系统内镜治疗胃皮肤瘘：一例报告

Endoscopic treatment of a gastrocutaneous fistula using the over-the-scope-clip system: a case report.

作者信息

Kouklakis Georgios, Zezos Petros, Liratzopoulos Nikolaos, Gatopoulou Anthia, Oikonomou Anastasia, Pitiakoudis Michail, Efremidou Eleni, Simopoulos Constantinos

机构信息

Endoscopy Unit, University General Hospital of Alexandroupolis, Democritus University of Thrace, Dragana 68100, Alexandroupolis, Greece.

出版信息

Diagn Ther Endosc. 2011;2011:384143. doi: 10.1155/2011/384143. Epub 2011 May 29.

DOI:10.1155/2011/384143
PMID:21747650
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3123845/
Abstract

The over-the-scope-clip (OTSC; Ovesco Endoscopy GmbH, Tuebingen, Germany) system is a newly designed method for the mechanical compression of large areas in the gastrointestinal tract. So far, indications for OTSC application are hemostasis of primary or postinterventional bleeding, closure of iatrogenic full-thickness or covered perforations. Recently closure of gastrointestinal tract fistulas using this device has been described. A 44-year-old man developed a gastrocutaneous fistula after surgical treatment for a perforated gastric ulcer. We describe the successful endoscopic closure of the fistula using the OTSC system. The patient's clinical followup was uneventful. Fistula closure was successfully implemented as it was documented by imaging and endoscopic examinations performed on the 2nd day and 6th week after the application of the clip. Endoscopic application of the OTSC device was safe and effective for the treatment of a gastrocutaneous fistula.

摘要

内镜下圈套夹（OTSC；德国图宾根市Ovesco内镜有限公司）系统是一种新设计的用于机械压迫胃肠道大面积区域的方法。到目前为止，OTSC的应用指征包括原发性或介入治疗后出血的止血、医源性全层或闭合性穿孔的封闭。最近已有使用该装置封闭胃肠道瘘的报道。一名44岁男性在接受胃溃疡穿孔手术治疗后发生了胃皮肤瘘。我们描述了使用OTSC系统成功内镜下封闭该瘘的过程。患者的临床随访情况良好。在应用夹子后的第2天和第6周进行的影像学和内镜检查证实瘘已成功封闭。OTSC装置的内镜应用对于胃皮肤瘘的治疗是安全有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/56580f3d0bbd/DTE2011-384143.010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/d4d6fce13449/DTE2011-384143.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/cc4e2cf66a74/DTE2011-384143.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/67e335a87382/DTE2011-384143.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/c2031f8900e5/DTE2011-384143.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/d71d57f3f760/DTE2011-384143.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/8ea6a001b788/DTE2011-384143.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/c2e4126a35f0/DTE2011-384143.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/a2843be57708/DTE2011-384143.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/088521684508/DTE2011-384143.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/56580f3d0bbd/DTE2011-384143.010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/d4d6fce13449/DTE2011-384143.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/cc4e2cf66a74/DTE2011-384143.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/67e335a87382/DTE2011-384143.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/c2031f8900e5/DTE2011-384143.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/d71d57f3f760/DTE2011-384143.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/8ea6a001b788/DTE2011-384143.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/c2e4126a35f0/DTE2011-384143.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/a2843be57708/DTE2011-384143.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/088521684508/DTE2011-384143.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c3b/3123845/56580f3d0bbd/DTE2011-384143.010.jpg

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