Case Report
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Feb 16, 2017; 9(2): 95-98
Published online Feb 16, 2017. doi: 10.4253/wjge.v9.i2.95
Endoscopic closure instead of surgery to close an ileal pouch fistula with the over-the-scope clip system
Yao Wei, Jian-Feng Gong, Wei-Ming Zhu
Yao Wei, Jian-Feng Gong, Wei-Ming Zhu, Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, Jiangsu Province, China
Author contributions: All the authors contributed to the revision of this manuscript.
Institutional review board statement: This case report was exempt from the Institutional Ethics Committee of Jinling Hospital.
Informed consent statement: The patient involved in this study gave his written informed consent authorizing the use and disclosure of his protected health information.
Conflict-of-interest statement: The authors declare that they have no competing interests.
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: Wei-Ming Zhu, PhD, Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, #305 East Zhongshan Road, Nanjing 210002, Jiangsu Province, China. dr_zhuweimingvip@sina.com
Telephone: +86-25-4803956
Received: September 27, 2016
Peer-review started: September 28, 2016
First decision: October 26, 2016
Revised: November 5, 2016
Accepted: December 16, 2016
Article in press: December 19, 2016
Published online: February 16, 2017
Core Tip

Core tip: Leaks from the tip of the J-pouch are less likely to occur but are associated with pouch failure after ileal pouch-anal anastomosis. Salvage surgery has been commonly performed to resolve these leaks, and the surgery typically includes laparotomy with either pouch repair or pouch resection. In this report, we present a patient with a fistula on the tip of the “J” in the pouch who was successfully treated with the over-the-scope clip system. We propose that this method could be used as an alternative to surgery to avoid surgery-related complications in patients with pouch fistula.