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The over-the-scope clipping system for treatment of chronic coloenteric fistula: a case report
Gintautas Radziunas1, Audrius Dulskas2, Oleg Aliosin3
1Vilnius University Hospital Santariskiu Clinics, 2 Santariskiu Str, Vilnius, LT-08661, Lithuania.
Abstract:
Anastomotic leak in colorectal surgery is not very unusual. The over-the-scope clipping (OTSC) system (Ovesco), which was originally developed to treat intestinal perforation and was tested with animals, might be the choice for the patient. We presented the case of a 63-year-old man with chronic coloenteric fistula. Conservative treatment was unsuccessful. The orifice was then closed with two subsequent clips, and the patient recovered well. To our knowledge, this is the first successful case of coloenteric fistula treatment with Ovesco.
