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Endoscopy 2002; 34(3): 220-222
DOI: 10.1055/s-2002-20294
Original Article

© Georg Thieme Verlag Stuttgart · New York

Selective Occlusion with Fibrin Glue under Fistuloscopy: Seven Cases of Postoperative Management for Intractable Complex Fistulas

T.  Kurokawa 1, 2 , S.  Okushiba 1 , M.  Kadoya 1, 2 , D.  Miyamoto 1, 2 , Y.  Kurashima 1, 2 , H.  Kitagami 1, 2 , J.  Ikeda 2 , M.  Sunaga 2 , Y.  Shinzato 2 , T.  Ozawa 2 , S.  Kondo 1 , H.  Katoh 1
  • 1Surgical Oncology, Division of Cancer Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan
  • 2Department of Surgery, Kitami Red Cross Hospital, Kirani, Japan
Further Information

Publication History

23 October 2000

18 June 2001

Publication Date:
22 February 2002 (online)

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Background and Study Aim: Fistula occlusion is not achieved in some fistulas with complex branches. To obtain early fistula closure in such cases, we insert a double-lumen catheter into each fistula branch, with the aid of a guide wire positioned using a small-caliber endoscope, and attempt selective infusion of fibrin glue.
Patients and Methods: Following removal of foreign bodies and necrotic granulation, we applied the selective occlusion method under fistuloscopic control to seven intractable external fistulas with complex branches, in which fistula closure had not been obtained by a simple occlusion method (SOM). All the fistulas were complex with more than two branches.
Results: Fistula occlusion was obtained within 2 weeks in six of the seven patients, and there has been no sign of recurrence over a follow-up period of 4 - 59 months (average 29.8 months).
Conclusion: Selective occlusion under fistuloscopy is highly effective for intractable external fistulas with complex branches.

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T. Kurokawa,M.D. 

Hokkaido University Graduate School of Medicine · Division of Cancer Medicine · Surgical Oncology

N-15, W-7, Kita-ku · Sapporo, 060-8638 · Japan ·

Fax: + 81-11-7067158

Email: t-kuro@med.hokudai.ac.jp