Treatment of Endoscopically Unmanageable Postoperative Dehiscence Using an Over-the-Scope Clip (OTSC) Device

Introduction: Gastrointestinal perforation and post-surgical fistula and dehiscences are potentially lethal complications of either endoscopic procedures or surgical procedures. Larger defects usually can't be managed minimally invasive by endoscopy and require surgical interventions. A new endoscopic over-the-scope clip (OTSC) system has been designed to be used in these difficult cases. We report on two patients of postoperative leaks with two dehiscences each who were treated with this device. Case reports: Patient 1, a 71 year old male developed a dehiscence of the fundojejunal anastomosis after subtotal gas…