{"title":"Endoscopic Treatment of a Colovesical Fistula Using a Through-The-Scope Clip Designed for Large Defect Closure.","authors":"Samuel Jun Ming Lim, Clarence Kah Wai Kwan","doi":"10.14309/crj.0000000000001813","DOIUrl":null,"url":null,"abstract":"<p><p>We present a patient who underwent endoscopic treatment of a colovesical fistula (CVF) using a through-the-scope clip (TTSC) designed for large defect closure. She was admitted for recurrent urosepsis. She declined surgery but agreed for endoscopic therapy. An over-the-scope clip was not used as the CVF was in close proximity to the right vesicoureteric junction. Conventional TTSCs failed to close the CVF due to fibrotic tissue at the CVF opening. A TTSC designed for large defect closure (MANTIS Clip, Boston Scientific, Marlborough, MA) successfully closed the CVF. The patient was last reviewed 9 months after endoscopic closure, with no further episodes of urosepsis.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 8","pages":"e01813"},"PeriodicalIF":0.5000,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12384882/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACG Case Reports Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14309/crj.0000000000001813","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
We present a patient who underwent endoscopic treatment of a colovesical fistula (CVF) using a through-the-scope clip (TTSC) designed for large defect closure. She was admitted for recurrent urosepsis. She declined surgery but agreed for endoscopic therapy. An over-the-scope clip was not used as the CVF was in close proximity to the right vesicoureteric junction. Conventional TTSCs failed to close the CVF due to fibrotic tissue at the CVF opening. A TTSC designed for large defect closure (MANTIS Clip, Boston Scientific, Marlborough, MA) successfully closed the CVF. The patient was last reviewed 9 months after endoscopic closure, with no further episodes of urosepsis.
期刊介绍：
ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
