Combined Endoscopic Fistulotomy and Clipping for the Treatment of Fistula From the Tip of the J-Pouch to Anastomosis

Patients who undergo restorative protocolectomy with ileal pouch-anal anastomosis may develop mechanical complications such as presacral sinuses and fistulas. The current method of treatment may include medical therapy or redo surgery. Recently, endoscopic management for postoperative complications...

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Detalles Bibliográficos
Autores principales: Sze, Grace, Khan, Freeha, Shen, Bo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6658014/
https://www.ncbi.nlm.nih.gov/pubmed/31620488
http://dx.doi.org/10.14309/crj.0000000000000040
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author Sze, Grace
Khan, Freeha
Shen, Bo
author_facet Sze, Grace
Khan, Freeha
Shen, Bo
author_sort Sze, Grace
collection PubMed
description Patients who undergo restorative protocolectomy with ileal pouch-anal anastomosis may develop mechanical complications such as presacral sinuses and fistulas. The current method of treatment may include medical therapy or redo surgery. Recently, endoscopic management for postoperative complications has shown effective results. We present a unique case of a pouch-to-pouch fistula, from the tip of the “J” to the anastomosis that was successfully treated with endoscopic needle-knife sinusotomy and over-the-scope clips.
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spelling pubmed-66580142019-10-16 Combined Endoscopic Fistulotomy and Clipping for the Treatment of Fistula From the Tip of the J-Pouch to Anastomosis Sze, Grace Khan, Freeha Shen, Bo ACG Case Rep J Case Report Patients who undergo restorative protocolectomy with ileal pouch-anal anastomosis may develop mechanical complications such as presacral sinuses and fistulas. The current method of treatment may include medical therapy or redo surgery. Recently, endoscopic management for postoperative complications has shown effective results. We present a unique case of a pouch-to-pouch fistula, from the tip of the “J” to the anastomosis that was successfully treated with endoscopic needle-knife sinusotomy and over-the-scope clips. Wolters Kluwer 2019-03-18 /pmc/articles/PMC6658014/ /pubmed/31620488 http://dx.doi.org/10.14309/crj.0000000000000040 Text en © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Sze, Grace
Khan, Freeha
Shen, Bo
Combined Endoscopic Fistulotomy and Clipping for the Treatment of Fistula From the Tip of the J-Pouch to Anastomosis
title Combined Endoscopic Fistulotomy and Clipping for the Treatment of Fistula From the Tip of the J-Pouch to Anastomosis
title_full Combined Endoscopic Fistulotomy and Clipping for the Treatment of Fistula From the Tip of the J-Pouch to Anastomosis
title_fullStr Combined Endoscopic Fistulotomy and Clipping for the Treatment of Fistula From the Tip of the J-Pouch to Anastomosis
title_full_unstemmed Combined Endoscopic Fistulotomy and Clipping for the Treatment of Fistula From the Tip of the J-Pouch to Anastomosis
title_short Combined Endoscopic Fistulotomy and Clipping for the Treatment of Fistula From the Tip of the J-Pouch to Anastomosis
title_sort combined endoscopic fistulotomy and clipping for the treatment of fistula from the tip of the j-pouch to anastomosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6658014/
https://www.ncbi.nlm.nih.gov/pubmed/31620488
http://dx.doi.org/10.14309/crj.0000000000000040
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