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- W2978279849 abstract "Purpose: A 72 y/o male with a past medical history of diverticulitis one year prior, requiring a partial colectomy, presented to our hospital complaining of fever and chills for three days. Upon admission he was found to have gram negative bacteremia. He was started on antibiotics and underwent an infectious work up without any success. CT imaging of his abdomen and pelvis revealed a 14 cm fistula extending from the greater curvature of the stomach to the area of the sigmoid colon. A follow up upper and lower GI series revealed that indeed the fistulous tract was patent and connecting the two organs. It was decided that his bacteremia was likely due to his gastro-colic fistula and endoscopic closure was planned. An upper endoscopy was performed and the fistula opening in the stomach was localized. A 0.025 cm guide wire was threaded down the fistula under fluoroscopic guidance. Simultaneously, a colonoscope was used to visualize the guidewire's exit point. The fistula was flushed with sterile water and a cytobrush was passed over the guide wire to denude the mucosa and to help promote closure. Lastly, both proximal and distal ends of the fistula were closed with endoclips. The patient tolerated the procedure well. A repeat upper GI series 4 days later failed to reveal the fistula. Three months later a lower GI series was performed which proved successful long term closure. To our knowledge this is the first case reported of such a long gastro-colic fistula being repaired via this novel method of endoscopic closure with utilization of endoclips.Figure: Gastro-colic fistula seen on barium enema.Figure. 3: months status post fistula closure." @default.
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- W2978279849 date "2011-10-01" @default.
- W2978279849 modified "2023-10-14" @default.
- W2978279849 title "A 14 cm Long Gastro-colic Fistula Repair via a Novel Endoscopic Technique: A Simultaneous Dual Scope Approach Utilizing Endoclips" @default.
- W2978279849 doi "https://doi.org/10.14309/00000434-201110002-01012" @default.
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