Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Dec 21, 2015; 21(47): 13396-13399
Published online Dec 21, 2015. doi: 10.3748/wjg.v21.i47.13396
Over-the-scope clip to close a gastrocutaneous fistula after esophagectomy
Shan-Shan Shen, Xiao-Qi Zhang, Zhen-Lei Li, Xiao-Ping Zou, Ting-Sheng Ling
Shan-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
Author contributions: Shen SS wrote the paper and collected some of the patient’s clinical data; Li ZL administrated and followed the patient; Zhang XQ made critical revisions of the paper; Zou XP designed the operation; Ling TS performed the operation and approved the publication of the paper.
Supported by National Natural Science Foundation of China, No. 81201908.
Institutional review board statement: The case report was approved by the Ethics Committee of Nanjing Drum Tower Hospital.
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ting-Sheng Ling, MD, PhD, Department of Gastroenterology, Affiliated Drum Tower Hospital of Nanjing University, Medical School, No. 321 Zhongshan Road, Nanjing 210008, Jiangsu Province, China. chinalts@126.com
Telephone: +86-25-83304616
Received: April 19, 2015
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
Core Tip

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.