Abstract
We experienced a case that intractable fistula after postoperative anastomotic leakage was able to close with new endoscope treatment device, OTSC® (Over the Scope Clip) system. A 70s man reported, fistula after postoperative anastomotic leakage that developed two years ago was intractable for conservative treatment. After conservative treatment, fistula was closed with OTSC® system under endoscopic and fluorography control. There were no major complications, and the abscess disappeared in the pelvic CT. In the fifth month after the procedure, there is no recurrence of the pelvic abscess. The rectal postoperative anastomotic leakage site is thickens by fibrosis for inflammation. Therefore it is very hard to be closed down by the conventional metallic clip. The new clip device OTSC® can deliver big size of metallic clip, and can close down for the intractable fistula. From 2011, insurance cover this new device. OTSC® is one of the new treatment choices of the anastomotic leakage or intractable fistula.
