Study Suggests Endoscopic Alternatives to Surgery to Heal Bowel Abnormalities

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    Sarina Kapoor, MD

    Sarina Kapoor, MD

    Poster 1077 Endoscopic Sealing of an Enterocutaneous Fistula with a Combination of Jagwire Placement and an Over the Scope Clip

    Author Insight from Sarina Kapoor, MD, West Virginia University Hospital / Ruby Memorial Hospital

    What’s new here and important for clinicians?

    For the first time, we describe a case in which a guidewire (Jagwire) is inserted into an abnormal connection in the bowels (fistula) and used to visualize the location of a fistula. We then used the over-the-scope (OVESCO) clip to close the fistula through the colonoscope.

    We present this case to encourage the innovative use of endoscopic tools by other clinicians and to describe a case in which old tools are used in a new way to aid patient care.

    What do patients need to know?

    Patients need to know there are endoscopic ways to heal abnormal connections between their bowels. They do not have to go straight to surgery.

    Read the abstract

    Axial image of fistula

    Sagittal image of fistula

    Fistulogram

    Guidewire in Fistula tract

    Clip deployment endoscopically

    Author Contact Sarina Kapoor, MD, West Virginia University Hospital / Ruby Memorial Hospital

    sakapoor@hsc.wvu.edu


    Media Interview Requests:

    To arrange an interview with any ACG experts or abstract authors please contact Jacqueline Gaulin of ACG via email jgaulin@gi.org or by phone at 301-263-9000.

     

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