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conferenceseries
.com
Volume 8
Journal of Gastrointestinal & Digestive System
ISSN: 2161-069X
Bariatric Surgery 2018 & Gastro 2018
March 15-16, 2018
JOINT EVENT
12
th
Global Gastroenterologists Meeting
3
rd
International Conference on Metabolic and Bariatric Surgery
&
March 15-16, 2018 Barcelona, Spain
Endoscopic closure of an anasto-cutaneous fistula
Hideaki Kawabata, Yuji Okazaki, Naonori Inoue, Yukino Kawakatsu, Misuzu Hitomi, Masatoshi Miyata
and
Shigehiro Motoi
Kyoto Okamoto Memorial Hospital, Japan
R
ecently, endoscopic treatments of gastrointestinal leaks and fistulas, including endoclipping, stent placement, application of tissue
sealants and suturing devices, have been developed, and the effectiveness of such procedures has been reported. We performed
endoscopic closure of a refractory anasto-cutaneous fistula. A total of 10 small PGA sheets (Polyglycolic acid) were delivered
into the fistula, the mucosa around the fistula was ablated with argon plasma coagulation, and the orifice of the fistula along with
the surrounding mucosa was shielded with a piece of PGA sheet fixed with hemoclips and fibrin glue. After this procedure, the
leakage from the cutaneous fistula disappeared, and the fistula was not detectable on contrast radiograms. In conclusion, MCA and
endoscopic closure of anasto-cutaneous fistula with filling and shielding using PGA sheets and fibrin glue are safe, effective, low-
invasive treatment.
Recent Publications
1. Rogalski P, Daniluk J, Baniukiewicz A, Wroblewski E, Dabrowski A (2015) Endoscopic management of gastrointestinal
perforations, leaks and fistulas. World J Gastroenterol. 21(37):10542-52.
2. Han S, Chung H, Park J C, Shin S K, Lee S K, Lee Y C (2017) Endoscopic management of gastrointestinal leaks and
perforation with polyglycolic acid sheets. Clin Endosc. 50(3):293-296.
3. WillinghamF F, Buscaglia JM(2015) Endoscopicmanagement of gastrointestinal leaks and fistulae. ClinGastroenterol
and Hepatol. 13(10):1714-1721.
4. Nagami Y, Shiba M, Tominaga K, Yamazoe S, Amano R, Fujiwara Y, Arakawa T (2015) Endoscopic closure of
gastrocutaneous leakage with polyglycolic acid sheets. Endoscopy. 47 Suppl 1 UCTN:E455-E456.
5. Takano Y, Yamamura E, Kuroki Y, Maruoka N, Nagahama M, Takahashi H (2015) Novel endoscopic treatment for
colocutaneous fistula after severe acute pancreatitis: filling with a polyglycolic acid sheet. Endoscopy. 47 Suppl 1
UCTN:E424-E425.
Biography
Hideaki Kawabata is a core Clinical Gastroenterologist and is currently the Director of the Department of Kyoto Okamoto Memorial Hospital, Head of the
Gastroenterological Center and Chief of the Palliative Care Team in the hospital. He is also a Specialist and Councilor in the Japanese Society of Gastroenterology
and the Japan Gastroenterological Endoscopy Society and a Specialist in the Japanese Society of Internal Medicine and the Japanese Society of Gastrointestinal
Cancer Screening.
hkawabata@okamoto-hp.or.jpHideaki Kawabata et al., J Gastrointest Dig Syst 2018, Volume 8
DOI: 10.4172/2161-069X-C1-064