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Acute Cholangitis following Biliary Obstruction after Duodenal OTSC Placement in a Case of Large Chronic Duodenocutaneous Fistula

Over-the-Scope Clip system, also called “Bear Claw,” is a novel endoscopic modality used for closure of gastrointestinal defect with high efficacy and safety. We present a patient with history of eosinophilic gastroenteritis and multiple abdominal surgeries including Billroth II gastrectomy complica...

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Detalles Bibliográficos
Autores principales: Alastal, Yaseen, Hammad, Tariq A., Nawras, Mohamad, Khalil, Basmah W., Alaradi, Osama, Nawras, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4491398/
https://www.ncbi.nlm.nih.gov/pubmed/26185690
http://dx.doi.org/10.1155/2015/647806
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author Alastal, Yaseen
Hammad, Tariq A.
Nawras, Mohamad
Khalil, Basmah W.
Alaradi, Osama
Nawras, Ali
author_facet Alastal, Yaseen
Hammad, Tariq A.
Nawras, Mohamad
Khalil, Basmah W.
Alaradi, Osama
Nawras, Ali
author_sort Alastal, Yaseen
collection PubMed
description Over-the-Scope Clip system, also called “Bear Claw,” is a novel endoscopic modality used for closure of gastrointestinal defect with high efficacy and safety. We present a patient with history of eosinophilic gastroenteritis and multiple abdominal surgeries including Billroth II gastrectomy complicated by a large chronic duodenocutaneous fistula from a Billroth II afferent limb to the abdominal wall. Bear Claw clip was used for closure of this fistula. The patient developed acute cholangitis one day after placement of the Bear Claw clip. Acute cholangitis due to papillary obstruction is a potential complication of Bear Claw placement at the dome of the duodenal stump (afferent limb) in patient with Billroth II surgery due to its close proximity to the major papilla.
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spelling pubmed-44913982015-07-16 Acute Cholangitis following Biliary Obstruction after Duodenal OTSC Placement in a Case of Large Chronic Duodenocutaneous Fistula Alastal, Yaseen Hammad, Tariq A. Nawras, Mohamad Khalil, Basmah W. Alaradi, Osama Nawras, Ali Case Rep Gastrointest Med Case Report Over-the-Scope Clip system, also called “Bear Claw,” is a novel endoscopic modality used for closure of gastrointestinal defect with high efficacy and safety. We present a patient with history of eosinophilic gastroenteritis and multiple abdominal surgeries including Billroth II gastrectomy complicated by a large chronic duodenocutaneous fistula from a Billroth II afferent limb to the abdominal wall. Bear Claw clip was used for closure of this fistula. The patient developed acute cholangitis one day after placement of the Bear Claw clip. Acute cholangitis due to papillary obstruction is a potential complication of Bear Claw placement at the dome of the duodenal stump (afferent limb) in patient with Billroth II surgery due to its close proximity to the major papilla. Hindawi Publishing Corporation 2015 2015-06-21 /pmc/articles/PMC4491398/ /pubmed/26185690 http://dx.doi.org/10.1155/2015/647806 Text en Copyright © 2015 Yaseen Alastal et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Alastal, Yaseen
Hammad, Tariq A.
Nawras, Mohamad
Khalil, Basmah W.
Alaradi, Osama
Nawras, Ali
Acute Cholangitis following Biliary Obstruction after Duodenal OTSC Placement in a Case of Large Chronic Duodenocutaneous Fistula
title Acute Cholangitis following Biliary Obstruction after Duodenal OTSC Placement in a Case of Large Chronic Duodenocutaneous Fistula
title_full Acute Cholangitis following Biliary Obstruction after Duodenal OTSC Placement in a Case of Large Chronic Duodenocutaneous Fistula
title_fullStr Acute Cholangitis following Biliary Obstruction after Duodenal OTSC Placement in a Case of Large Chronic Duodenocutaneous Fistula
title_full_unstemmed Acute Cholangitis following Biliary Obstruction after Duodenal OTSC Placement in a Case of Large Chronic Duodenocutaneous Fistula
title_short Acute Cholangitis following Biliary Obstruction after Duodenal OTSC Placement in a Case of Large Chronic Duodenocutaneous Fistula
title_sort acute cholangitis following biliary obstruction after duodenal otsc placement in a case of large chronic duodenocutaneous fistula
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4491398/
https://www.ncbi.nlm.nih.gov/pubmed/26185690
http://dx.doi.org/10.1155/2015/647806
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