Lėtinės kolorektalinės fistulės gydymas naudojant OTSC kabutes: klinikinis atvejis

Anastomotic leakage in colorectal surgery is an infrequent but in some cases very serious or even lethal complication. The over-the-scope-clipping (OTSC) system (Ovesco), which was originally developed to treat intestinal perforation and was tested on animals, could be the answer for the patient with such situation. We present a case of 63-year-old man suturae insuffitiency at the 40th post-operative day. The conservative treatment was long and unsuccessful. The lesion was then closed with two subsequent clips, and the patient recovered well without major interventions. The lesion showed a normal healing on the follow-up.Kolorektalinės anastomozės nesandarumas nėra dažna, tačiau labai sunki, neretai ir mirtina komplikacija. OTSC kabutės („Ovesco“) buvo sukurtos virškinamojo trakto perforacijoms gydyti. Pirmiausia išbandytos eksperimentuojant su gyvūnais. Šios kabutės gali būti vienas iš nesandarumo ir (ar) fistulių gydymo metodų. Aprašome atvejį, kai 63 metų vyrui po kolorektalinės operacijos atsirado žarnų siūlės nesandarumas. Konservatyvus gydymas buvo nesėkmingas. Defektas panaikintas naudojant dvi „Ovesco“ kabutes, kurios uždėtos skirtingu metu. Stebėjimo laikotarpiu defektas sugijo

Treatment of chronic colorectal fistula with the over-the-scope-clipping system: a case report

Anastomotic leakage in colorectal surgery is an infrequent but in some cases very serious or even lethal complication. The over-the-scope-clipping (OTSC) system (Ovesco), which was originally developed to treat intestinal perforation and was tested on animals, could be the answer for the patient with such situation. We present a case of 63-year-old man suturae insuffitiency at the 40th post-operative day. The conservative treatment was long and unsuccessful. The lesion was then closed with two subsequent clips, and the patient recovered well without major interventions. The lesion showed a normal healing on the follow-up