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Published on: August 22, 2025
Over-the-scope clip to close a gastrocutaneous fistula after esophagectomy
Shan-Shan Shen1, Xiao-Qi Zhang1, Zhen-Lei Li1
1Shan-Shan Shen, Xiao-Qi Zhang, Zhen-Lei Li, Xiao-Ping Zou, Ting-Sheng Ling, Department of Gastroenterology, Affiliated Drum Tower Hospital of Nanjing University, Medical School, Nanjing 210008, Jiangsu Province, China.
Abstract:
Over-the-scope clip (OTSC) system is becoming a new reliable technique which is available for the endoscopic closure of fistulas, bleeding, perforations and so on. We describe the case of a patient with a non-healing gastrocutaneous fistula after esophagectomy for esophageal squamous cell carcinoma which was successfully closed using an OTSC system. This is the first report of the use of OTSC to treat a non-healing gastrocutaneous fistula successfully after esophagectomy. We believe our experience will give such patients an ideal way to cure the fistula without suffering too much and also explore new application of OTSC.
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