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Cholecystocolic fistula closed using endoscopic therapy alone: A case report
Kiyoyuki Kobayashi1,2, Hideki Kobara3, Tomohiro Ougi2
1Division of Innovative Medicine for Hepatobiliary and Pancreatology, Faculty of Medicine, Kagawa University, Kagawa, Japan.
Medicine
|July 22, 2022
Summary
Endoscopic closure successfully treated cholecystocolic fistula (CCF) in an elderly patient who declined surgery. This minimally invasive approach offers a viable alternative for managing CCF, preventing recurrence.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Cholecystocolic fistula (CCF) is a rare complication of gallstones, typically treated surgically.
- Increasing elderly populations necessitate non-surgical treatment options for CCF.
Observation:
- An 87-year-old female presented with altered consciousness and anorexia.
- CT and colonoscopy confirmed acute cholecystitis with a cholecystocolic fistula.
Findings:
- Endoscopic closure of the CCF was performed using a through-the-scope clip and naso-gallbladder drainage.
- Successful fistula closure resolved cholecystitis and anorexia, with no recurrence at 18 months.
Implications:
- Endoscopic CCF closure is a safe and effective alternative for elderly patients unsuitable for surgery.
- This technique can significantly improve patient outcomes and quality of life.
