OJGas  Vol.2 No.3 , August 2012
Endoscopic treatment of staple line disruption in patient with vertical banded gastroplasty using the over-the-scope-clip system (with video)
Background: scope-clip (OTSC; Ovesco Endoscopy GmbH, Tuebingen, Germany) system is a newly designed method for the mechanical compression of large areas in the gastrointestinal tract. So far, indications for OTSC application are hemostasis of pri-mary or post-interventional bleeding, closure of iatrogenic full-thickness or covered perforations. Recently closure of gastrointestinal tract fistulas using this device has been described. Objective: In this case, we describe the successful endoscopic closure, using the OTSC system, of a gastrogastric fistula due to staple line disruption in patient with vertical banded gastroplasty. Conclusion: Endoscopic application of the OTSC device is safe and effective for the treatment of a staple line disruption.

Cite this paper
Rouibaa, F. , Surace, M. and Barthet, M. (2012) Endoscopic treatment of staple line disruption in patient with vertical banded gastroplasty using the over-the-scope-clip system (with video). Open Journal of Gastroenterology, 2, 101-104. doi: 10.4236/ojgas.2012.23021.
[1]   Mason, E.E. (1982) Vertical banded gastroplasty for obesity. Archives of Surgery, 117, 701-706. doi:10.1001/archsurg.1982.01380290147026

[2]   Balsiger, B.M. et al. (2000) Ten and more years after vertical banded gastroplasty as primary operation for morbid obesity. Journal of Gastrointestinal Surgery, 4, 598-605. doi:10.1016/S1091-255X(00)80108-0

[3]   O’Brien, P.E. et al. (2006) Systematic review of medium-term weight loss after bariatric operations. Obesity Surgery, 16, 1032-1040. doi:10.1381/096089206778026316

[4]   Edward, E.M. and Joseph, J.C. (2003) Management of complications in vertical banded gastroplasty. Current Surgery, 60, 33-37. doi:10.1016/S0149-7944(03)00042-4

[5]   MacLean, L.D., Roche, B.M., Sampalis, J. and Force, R.A. (1993) Results of surgical treatment of obesity. The American Journal of Surgery, 165, 155-160. doi:10.1016/S0002-9610(05)80420-9

[6]   Puli, S.R., Spofford, I.S. and Thompson, C.C. (2010) Use of self expanding stents in the treatment of bariatric surgery leaks: A meta-analysis and systematic review. Gastrointestinal Endoscopy, 71, AB140. doi:10.1016/j.gie.2010.03.134

[7]   Eskaros, S., Ghevariya, V., Krishnaiah, M., Asarian, A. and Anand, S. (2009) Percutaneous endoscopic suturing: An effective treatment for gastrocutaneous fistula. Gastrointestinal Endoscopy, 70, 768-771. doi:10.1016/j.gie.2009.05.002

[8]   Papavramidis, T.S., Kotzampassi, K., Kotidis, E., Eleft- heriadis, E.E. and Papavramidis, S.T. (2008) Endoscopic fibrin sealing of gastrocutaneous fistulas after sleeve gas- trectomy and biliopancreatic diversion with duodenal switch. Journal of Gastroenterology and Hepatology, 23, 1802-1805. doi:10.1111/j.1440-1746.2008.05545.x

[9]   Merrifield, B.F., Lautz D. and Thompson, C.C. (2006) Endoscopic repair of gastric leaks after Roux-en-Y gastric bypass: A less invasive approach. Gastrointestinal Endoscopy, 63, 710-714. doi:10.1016/j.gie.2005.11.018

[10]   Hammed, H., Kalim, S. and Khan, Y.I. (2009) Closure of a nonhealing gastrocutaneous fistula using argon plasma coagulation and endoscopic hemoclips. Canadian Journal of Gastroenterology, 23, 217-219.

[11]   Fernandez-Esparrach, G., Lautz, D.B. and Thompson, C.C. (2010) Endoscopic repair of gastrogastric fistula after Roux-en-Y gastric bypass: A lessinvasive approach. Surgery for Obesity and Related Diseases, 6, 282-288. doi:10.1016/j.soard.2010.02.036

[12]   Toussaint, E., Eisendrath, P., Kwan, V., Dugardeyn, S., Deviere, J. and Le Moine, O. (2009) Endoscopic treatment of postoperative enterocutaneous fistulas after bariatric surgery with the use of a fistula plug: Report of five cases. Endoscopy, 41, 560-563. doi:10.1055/s-0029-1214606

[13]   Iacopini, F., di Lorenzo, N., Altorio, F., Schurr M.O. and Scozzarro, A. (2010) Over-the-scope clip closure of two chronic fistulas after gastric band penetration. World Journal of Gastroenterology, 16, 1665-1669. doi:10.3748/wjg.v16.i13.1665

[14]   Kouklakis, G., Zezos, P., Liratzopoulos, N., Gatopoulou, A., Oikonomou, A., Pitiakoudis, M., Efremidou, E. and Simopoulos, C. (2011) Endoscopic treatment of a gastrocutaneous fistula using the over-the-Scope-clip system: A Case Report. Diagnostic and Therapeutic Endoscopy, 2011, 5 Pages, Article ID: 384143.