{"title":"内窥镜下膀胱瘘的治疗：使用专为大缺陷闭合而设计的穿过镜夹。","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":"{\"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}","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
摘要
我们提出了一个病人谁接受内窥镜治疗膀胱瘘（CVF）使用通过镜夹（TTSC）设计的大缺陷关闭。她因复发性尿脓毒症入院。她拒绝接受手术，但同意接受内窥镜治疗。由于CVF靠近右侧膀胱输尿管连接处，因此未使用镜外夹。由于CVF开口处有纤维化组织，传统的TTSCs不能关闭CVF。设计用于大缺陷关闭的TTSC （MANTIS Clip, Boston Scientific, Marlborough， MA）成功关闭了CVF。患者在内镜关闭9个月后进行了最后一次复查，没有再发生尿脓毒症。
Endoscopic Treatment of a Colovesical Fistula Using a Through-The-Scope Clip Designed for Large Defect Closure.
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
