Published online Dec 21, 2015. doi: 10.3748/wjg.v21.i47.13396
Peer-review started: April 20, 2015
First decision: May 18, 2015
Revised: June 15, 2015
Accepted: September 13, 2015
Article in press: September 14, 2015
Published online: December 21, 2015
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.
Core tip: Gastrocutaneous fistula after esophagectomy is infrequent, but it is notorious for the difficulty of achieving closure. 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 over-the-scope clip (OTSC) system. This is the first report of the use of OTSC to treat this type of gastrocutaneous fistula.