Endoscopic Fistula Closure

Endoscopic Fistula Closure?
An endoscopic fistula closure is a safe way to close gastric, duodenal, and colonic perforations.

About fistula closure:
A fistula is defined as the presence of an abnormal communication between two organs or between an organ and the cutaneous surface. It can be caused by benign inflammatory diseases, malignancies, or from surgery suturing. Via endoscope, metal clips or stents are used to hold fistulas together.

For upper GI fistulas, you may not eat or drink anything for 8-12 hours prior to the procedure
For lower GI fistula closures, your medical provider will order a bowel prep.

During the procedure:
You will be asked to change into a gown before the procedure. You will be given a sedative by the anesthesiologist who will be present to monitor your vital signs during the examination. You will not experience any sensation of gagging or choking. A mouthpiece will be placed between your teeth to protect your mouth.  The endoscope does not interfere with your breathing.

After the procedure:
After the procedure, you will remain in a recovery room until most of the effect of the sedative has worn off. Because of sedation used during 
the procedure, you'll need to make plans to have someone take you home.

Common side effects:

  • Reactions to the sedative. The drugs used to sedate you may continue to cause drowsiness and may cause nausea and vomiting.
  • Sore throat. If the endoscope was guided down your esophagus, you may experience a sore throat.  Lozenges help to sooth the throat.
  • Gas or cramps. A small amount of air may have been pumped into your digestive system to make it more accessible. This can result in gas, bloating or cramps after the procedure.