A CASE OF CHOLECYSTOCOLIC FISTULA ENCLOSED BY COLONOSCOPIC CLIPPING

  • HAYASHI Kazuki
    Department of Internal Medicine and Bioregulation, Nagoya City University Graduate School of Medical Sciences
  • OHARA Hirotaka
    Department of Internal Medicine and Bioregulation, Nagoya City University Graduate School of Medical Sciences
  • KITAJIMA Yasuhiro
    Department of Internal Medicine and Bioregulation, Nagoya City University Graduate School of Medical Sciences
  • TANAKA Hajime
    Department of Internal Medicine and Bioregulation, Nagoya City University Graduate School of Medical Sciences
  • TAKADA Hiroki
    Department of Internal Medicine and Bioregulation, Nagoya City University Graduate School of Medical Sciences
  • IMAI Hideto
    Department of Internal Medicine and Bioregulation, Nagoya City University Graduate School of Medical Sciences
  • ANDOH Tomoaki
    Department of Internal Medicine and Bioregulation, Nagoya City University Graduate School of Medical Sciences
  • NAKAZAWA Takahiro
    Department of Internal Medicine and Bioregulation, Nagoya City University Graduate School of Medical Sciences
  • JOH Takashi
    Department of Internal Medicine and Bioregulation, Nagoya City University Graduate School of Medical Sciences

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Other Title
  • 大腸内視鏡下の瘻孔縫縮術により閉鎖した胆嚢結腸瘻の1例

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Abstract

Cholecystocolic fistula is a comparatively rare among internal biliary fistula. We report a case of cholecystocolic fistula enclosed by colonoscopic clipping. A 82-year-old man was admitted because of acute cholecystitis. PTGBD (Percutaneous transhepatic gallbladder drainage) was enforced. Afterwards, cholecystocolic fistula was turned out. But it was judged that the operation for the fistula was difficult because of cardiopulmonary defective function. Therefore, we tried colonoscopic enclosure by clip. As a result, the fistula had been improved. In general, the treatment of cholecystocolic fistula is surgical methods. It seems that treatment by colonoscopic enclosure with clip was effective, when operation is difficult.

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