TITLE:
Endoscopic treatment of staple line disruption in patient with vertical banded gastroplasty using the over-the-scope-clip system (with video)
AUTHORS:
Fedoua Rouibaa, M. Surace, Marc Barthet
KEYWORDS:
Bariatric Surgery; Mason’s Gastroplasty; Staple Line Disruption; Clips OVESCO
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.2 No.3,
August
30,
2012
ABSTRACT: Background: 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 pri-mary or post-interventional bleeding, closure of iatrogenic full-thickness or covered perforations. Recently closure of gastrointestinal tract fistulas using this device has been described. Objective: In this case, we describe the successful endoscopic closure, using the OTSC system, of a gastrogastric fistula due to staple line disruption in patient with vertical banded gastroplasty. Conclusion: Endoscopic application of the OTSC device is safe and effective for the treatment of a staple line disruption.