Volume 4, Issue 10, Pages (October 2019)

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Volume 4, Issue 10, Pages 476-477 (October 2019) Endoscopic identification and clipping of an anastomotic leak after colorectal surgery by use of methylene blue dye and over-the-scope clipping system Hassan Ghoz, MD, Bhaumik Brahmbhatt, MBBS, MD, Tarek Odah, MD, Carla Foulks, MD, Timothy A. Woodward, MD VideoGIE Volume 4, Issue 10, Pages 476-477 (October 2019) DOI: 10.1016/j.vgie.2019.07.001 Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 CT view of the abdomen and pelvis showing a pelvic collection. VideoGIE 2019 4, 476-477DOI: (10.1016/j.vgie.2019.07.001) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Sinogram suggesting an ileocecal leak. VideoGIE 2019 4, 476-477DOI: (10.1016/j.vgie.2019.07.001) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 External pelvic drain through which the methylene blue dye is injected. VideoGIE 2019 4, 476-477DOI: (10.1016/j.vgie.2019.07.001) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Methylene blue intravasation identifying the anastomotic leak site. VideoGIE 2019 4, 476-477DOI: (10.1016/j.vgie.2019.07.001) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Ablation of the mucosal opening of the fistula by argon plasma coagulation. VideoGIE 2019 4, 476-477DOI: (10.1016/j.vgie.2019.07.001) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Postprocedural CT view showing interval resolution of the pelvic collection and evidence of the clip in place. VideoGIE 2019 4, 476-477DOI: (10.1016/j.vgie.2019.07.001) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions