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    Ileal pouch-anal anastomosis is the surgical procedure of choice for patients who require colectomy for complicated ulcerative colitis with or without associated dysplasia and familial adenomatous polyposis. Leaks from the suture lines or anastomosis can lead to pouch failure. Treatment options have been radiographic drainage and surgical intervention. Endoscopic therapy has emerged a viable nonsurgical treatment option for some of the complications associated with J-pouch surgery. Here, we present a case of endoscopic management of a leak from the tip of the J-pouch with sequential application of 2 over-the-scope clips. © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.


    Yaniuska Lescaille, Joel R Rosh, Ravi P Kiran, Bo Shen. Successful Closure of the Tip of the "J" Fistula of the Ileal Pouch With Double Over-the-Scope Clips. ACG case reports journal. 2021 Apr;8(4):e00566

    PMID: 33928179

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