Johnathan Zhang, MD, Jason B

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Presentation transcript:

Large Esophageal Fistula Closure Using an Over-the-Scope Clip: Two Unique Cases Johnathan Zhang, MD, Jason B. Samarasena, MD, Jeffrey Milliken, MD, John G. Lee, MD The Annals of Thoracic Surgery Volume 96, Issue 6, Pages 2214-2216 (December 2013) DOI: 10.1016/j.athoracsur.2013.04.125 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Over-the-scope clip loaded on end of endoscope with twin grasper device for approximation of defect. The Annals of Thoracic Surgery 2013 96, 2214-2216DOI: (10.1016/j.athoracsur.2013.04.125) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) A 3-cm esophageal fistula opening (arrow). (B) An over-the-scope clip closing the fistula site. The Annals of Thoracic Surgery 2013 96, 2214-2216DOI: (10.1016/j.athoracsur.2013.04.125) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Esophagogastric (small arrow) and esophagocutaneous (hollow arrow) fistulas at 40 cm. (B) Fluoroscopy showing three deployed over-the-scope clips (arrows). The Annals of Thoracic Surgery 2013 96, 2214-2216DOI: (10.1016/j.athoracsur.2013.04.125) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions