Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy
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...
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| Format: | Book |
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Korean Society of Gastrointestinal Endoscopy,
2015-11-01T00:00:00Z.
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|---|---|---|---|
| 001 | doaj_abe413bb74b64b8697b4f88f33d0653b | ||
| 042 | |a dc | ||
| 100 | 1 | 0 | |a Yoshihisa Arao |e author |
| 700 | 1 | 0 | |a Yuichi Sato |e author |
| 700 | 1 | 0 | |a Satoru Hashimoto |e author |
| 700 | 1 | 0 | |a Hiroki Honda |e author |
| 700 | 1 | 0 | |a Kazumi Yoko |e author |
| 700 | 1 | 0 | |a Masaaki Takamura |e author |
| 700 | 1 | 0 | |a Ken-ichi Mizuno |e author |
| 700 | 1 | 0 | |a Masaaki Kobayashi |e author |
| 245 | 0 | 0 | |a Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy |
| 260 | |b Korean Society of Gastrointestinal Endoscopy, |c 2015-11-01T00:00:00Z. | ||
| 500 | |a 2234-2400 | ||
| 500 | |a 2234-2443 | ||
| 500 | |a 10.5946/ce.2015.48.6.563 | ||
| 520 | |a 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. | ||
| 546 | |a EN | ||
| 690 | |a Over-the-scope clipping | ||
| 690 | |a Fistula | ||
| 690 | |a Percutaneous endoscopic gastrostomy tube | ||
| 690 | |a Fibrosis | ||
| 690 | |a Steroids | ||
| 690 | |a Internal medicine | ||
| 690 | |a RC31-1245 | ||
| 690 | |a Diseases of the digestive system. Gastroenterology | ||
| 690 | |a RC799-869 | ||
| 655 | 7 | |a article |2 local | |
| 786 | 0 | |n Clinical Endoscopy, Vol 48, Iss 6, Pp 563-565 (2015) | |
| 787 | 0 | |n http://www.e-ce.org/upload/pdf/ce-48-6-563.pdf | |
| 787 | 0 | |n https://doaj.org/toc/2234-2400 | |
| 787 | 0 | |n https://doaj.org/toc/2234-2443 | |
| 856 | 4 | 1 | |u https://doaj.org/article/abe413bb74b64b8697b4f88f33d0653b |z Connect to this object online. |