부산대학교 도서관

We report two cases of treatment with over-the-scope-clip (OTSC) for anastomotic leakage after sigmoid colectomy for diverticulitis. Case 1 was a 52-year-old man who visited the hospital with lower abdominal pain and hematochezia and was diagnosed with sigmoid colon diverticulitis and mesenteric penetration by contrast CT. Sigmoid colectomy (end-to-side anastomosis) and diverting ileostomy were performed. On postoperative day 46, enterocutaneous fistula due to anastomotic leakage was diagnosed by fistulography and fistula closure using OTSC treatment was performed on postoperative day 121. After treatment of OTSC closure, the enterocutaneous fistula healed and the ileostomy was closed.