Published online Aug 16, 2013. doi: 10.4253/wjge.v5.i8.402
Revised: May 10, 2013
Accepted: June 5, 2013
Published online: August 16, 2013
Core tip: Herein we present the endoscopic closure of a gastro-colic fistula in a severely malnourished patient with complex post-surgical upper Gastrointestinalanatomy using the over-the-scope-clip (OTSC-system). The OTSC-system is an endoscopic clipping device made of Nitinol, which allows for treatment of peptic ulcer bleeding and the closure of perforations, anastomotic leaks and fistulas. In addition, we show the usefulness of placing a direct jejunostomy using the double balloon enteroscopy technique during the same procedure.