Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy

A 50-year-old woman had a percutaneous endoscopic gastrostomy (PEG) tube placed after surgery for pharyngeal cancer. After 21 months, the PEG tube was removed due to improvement of per-oral ingestion. She had taken prednisolone for 31 years for systemic lupus erythematosus. The post-PEG fistula did...

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Autores principales: Arao, Yoshihisa, Sato, Yuichi, Hashimoto, Satoru, Honda, Hiroki, Yoko, Kazumi, Takamura, Masaaki, Mizuno, Ken-ichi, Kobayashi, Masaaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Gastrointestinal Endoscopy 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4676652/
https://www.ncbi.nlm.nih.gov/pubmed/26668806
http://dx.doi.org/10.5946/ce.2015.48.6.563
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author Arao, Yoshihisa
Sato, Yuichi
Hashimoto, Satoru
Honda, Hiroki
Yoko, Kazumi
Takamura, Masaaki
Mizuno, Ken-ichi
Kobayashi, Masaaki
author_facet Arao, Yoshihisa
Sato, Yuichi
Hashimoto, Satoru
Honda, Hiroki
Yoko, Kazumi
Takamura, Masaaki
Mizuno, Ken-ichi
Kobayashi, Masaaki
author_sort Arao, Yoshihisa
collection PubMed
description A 50-year-old woman had a percutaneous endoscopic gastrostomy (PEG) tube placed after surgery for pharyngeal cancer. After 21 months, the PEG tube was removed due to improvement of per-oral ingestion. She had taken prednisolone for 31 years for systemic lupus erythematosus. The post-PEG fistula did not close spontaneously. The cause of the fistula was slow wound healing and gastrostomy site inflammation due to long-term steroid therapy. We were able to close the fistula with an over-the-scope clipping (OTSC) system. This case suggests that OTSC is useful for closing persistent post-PEG fistulas in patients receiving long-term prednisolone therapy.
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spelling pubmed-46766522015-12-14 Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy Arao, Yoshihisa Sato, Yuichi Hashimoto, Satoru Honda, Hiroki Yoko, Kazumi Takamura, Masaaki Mizuno, Ken-ichi Kobayashi, Masaaki Clin Endosc Case Report A 50-year-old woman had a percutaneous endoscopic gastrostomy (PEG) tube placed after surgery for pharyngeal cancer. After 21 months, the PEG tube was removed due to improvement of per-oral ingestion. She had taken prednisolone for 31 years for systemic lupus erythematosus. The post-PEG fistula did not close spontaneously. The cause of the fistula was slow wound healing and gastrostomy site inflammation due to long-term steroid therapy. We were able to close the fistula with an over-the-scope clipping (OTSC) system. This case suggests that OTSC is useful for closing persistent post-PEG fistulas in patients receiving long-term prednisolone therapy. The Korean Society of Gastrointestinal Endoscopy 2015-11 2015-11-30 /pmc/articles/PMC4676652/ /pubmed/26668806 http://dx.doi.org/10.5946/ce.2015.48.6.563 Text en Copyright © 2015 Korean Society of Gastrointestinal Endoscopy This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Arao, Yoshihisa
Sato, Yuichi
Hashimoto, Satoru
Honda, Hiroki
Yoko, Kazumi
Takamura, Masaaki
Mizuno, Ken-ichi
Kobayashi, Masaaki
Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy
title Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy
title_full Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy
title_fullStr Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy
title_full_unstemmed Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy
title_short Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy
title_sort utility of over-the-scope clipping for closure of a persistent post-percutaneous endoscopic gastrostomy fistula under long-term steroid therapy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4676652/
https://www.ncbi.nlm.nih.gov/pubmed/26668806
http://dx.doi.org/10.5946/ce.2015.48.6.563
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