Endoscopic treatment of perforations and fistulas

Nikhil A. Kumta, Ersilia M. De Filippis, Reem Z. Sharaiha, Brian G. Turner

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


With the development of natural orifice transluminal endoscopic surgery (NOTES) and the advances in endoscopic devices, the repair of fistulas and perforations can be more readily performed endoscopically. In this chapter, we describe various devices used for these indications. These include over-the-scope clips, the OverStitch Endoscopic Suturing System, cardiac septal defect occluders, and others. All of these techniques have been shown to be effective in select cases in the current literature. Future device modifications to permit better range of motion and more intricate manipulations within small gastrointestinal luminal surfaces will continue to improve these interventions and patient outcomes.

Original languageEnglish
Title of host publicationAdvanced Colonoscopy
Subtitle of host publicationPrinciples and Techniques Beyond Simple Polypectomy
PublisherSpringer New York
Number of pages11
ISBN (Electronic)9781493915842
ISBN (Print)1493915835, 9781493915835
StatePublished - 1 Jul 2014
Externally publishedYes


  • Endoscopic closure
  • Endoscopic suturing
  • Fistula closure
  • Over-the-scope clip
  • Perforation closure


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