RT Journal Article
SR Electronic
T1 Closure of recurrent colovaginal fistulas using AMPLATZER occluder device
JF BMJ Open Gastroenterology
JO BMJ Open Gastro
FD BMJ Publishing Group Ltd
SP e000921
DO 10.1136/bmjgast-2022-000921
VO 9
IS 1
A1 Joseph Simmons
A1 Ahmed Sherif
A1 Jason Mader
A1 Saba Altarawneh
A1 Mehiar El-Hamdani
A1 Wesam Frandah
YR 2022
UL http://bmjopengastro.bmj.com//content/9/1/e000921.abstract
AB A 79-year-old woman and a 92-year-old woman were referred to the gastroenterology department for management of persistent colovaginal fistula despite surgical and non-surgical management. Both patients had several hospitalisations for recurrent urinary tract infections. After failed surgical management and endoscopy using over-the-scope clipping, both patients underwent endoscopic closure using the Amplatzer cardiac septal occluder device. Both patients underwent successful closure and had no recurrence of symptoms at 6-month follow-up. Although there are several therapies available for persistent colovaginal fistulas, most involve multiple sessions and have high recurrence rate. There have been reports in the literature of cardiac septal occluders being used in the management of upper gastrointestinal tract fistulas, but few cases exist explaining their role in the management of colovaginal fistulas. Our cases demonstrate that cardiac septal occluders may be a viable option for management of fistulas and warrants further studies to reproduce its effectiveness and safety.No data are available.