Crohn's Duodeno-colonic Fistula Preoperatively Closed Using a Detachable Endoloop and Hemoclips: A Case Report
박미성 ; 김원진 ; 천재희 ; 김원호 ; 김태일 ; 홍성필 ; 박수정 ; 허지혜
Korean Journal of Gastroenterology (대한소화기학회지), Vol.61(2) : 97~102, 2013
Korean Journal of Gastroenterology (대한소화기학회지)
Duodeno-colonic fistula is an enterocolonic fistula that occurs as a complication of Crohn's disease. Symptoms of duodeno-colonic fistula are similar to those of Crohn's disease, such as weight loss and diarrhea. The treatment of choice is surgery, although medical treatment may also be considered. However, surgery is recommended when all available medical therapies have been ineffective. In this case, we report a secondary duodeno-colonic fistula due to Crohn's disease that was temporarily managed by an endoscopic procedure with a detached endoloop and hemoclips as a bridging therapy to final surgical repair.