Endoscopy 2010; 42(9): 757-759
DOI: 10.1055/s-0030-1255634
Case report/series

© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic closure of postoperative esophageal leaks with a novel over-the-scope clip system

J.  Pohl1 , M.  Borgulya1 , D.  Lorenz2 , C.  Ell1
  • 1Department of Gastroenterology, Dr. Horst Schmitt Kliniken, Wiesbaden, Germany
  • 2Department of Surgery, Dr. Horst Schmitt Kliniken, Wiesbaden, Germany
Further Information

Publication History

submitted 23 February 2010

accepted after revision 1 June 2010

Publication Date:
30 August 2010 (online)

Management of esophageal anastomotic leaks is associated with high morbidity and mortality and remains an interdisciplinary challenge. We describe the first two cases of endoscopic closure of postoperative leaks following gastrectomy and primary repair after spontaneous acute esophageal perforation, using the over-the-scope clip (OTSC) system (Ovesco Endoscopy GmbH, Tübingen, Germany). Both leaks were successfully sealed with one clip. While one patient recovered without reintervention, in the other patient the postoperative leak reappeared following clip displacement 13 days later.


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J. PohlMD 

Department of Internal Medicine II
Dr. Horst Schmidt-Klinik

Ludwig-Erhard-Str. 100
65199 Wiesbaden

Fax: +49-611-432418

Email: juergen.pohl@hsk-wiesbaden.de