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Arao Y, Sato Y, Hashimoto S, et al. Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy. Clin Endosc. 2015;48(6):563-5doi: 10.5946/ce.2015.48.6.563.
Arao, Y., Sato, Y., Hashimoto, S., Honda, H., Yoko, K., Takamura, M., Mizuno, K., & Kobayashi, M. (2015). Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy. Clinical endoscopy, 48(6), 563-5. https://doi.org/10.5946/ce.2015.48.6.563
Arao, Yoshihisa, et al. "Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy." Clinical endoscopy vol. 48,6 (2015): 563-5. doi: https://doi.org/10.5946/ce.2015.48.6.563
Arao Y, Sato Y, Hashimoto S, Honda H, Yoko K, Takamura M, Mizuno K, Kobayashi M. Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy. Clin Endosc. 2015 Nov;48(6):563-5. doi: 10.5946/ce.2015.48.6.563. Epub 2015 Nov 30. PMID: 26668806; PMCID: PMC4676652.
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Clin Endosc. 2015 Nov;48(6):563-5. doi: 10.5946/ce.2015.48.6.563. Epub 2015 Nov 30.

Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy.

Clinical endoscopy

Yoshihisa Arao, Yuichi Sato, Satoru Hashimoto, Hiroki Honda, Kazumi Yoko, Masaaki Takamura, Ken-Ichi Mizuno, Masaaki Kobayashi

Affiliations

  1. Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.

PMID: 26668806 PMCID: PMC4676652 DOI: 10.5946/ce.2015.48.6.563

Abstract

A 50-year-old woman had a percutaneous endoscopic gastrostomy (PEG) tube placed after surgery for pharyngeal cancer. After 21 months, the PEG tube was removed due to improvement of per-oral ingestion. She had taken prednisolone for 31 years for systemic lupus erythematosus. The post-PEG fistula did not close spontaneously. The cause of the fistula was slow wound healing and gastrostomy site inflammation due to long-term steroid therapy. We were able to close the fistula with an over-the-scope clipping (OTSC) system. This case suggests that OTSC is useful for closing persistent post-PEG fistulas in patients receiving long-term prednisolone therapy.

Keywords: Fibrosis; Fistula; Over-the-scope clipping; Percutaneous endoscopic gastrostomy tube; Steroids

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