Endoscopic Treatment of Perforations and Fistulas

  • Nikhil A. Kumta
  • Ersilia M. DeFilippis
  • Reem Z. Sharaiha
  • Brian G. TurnerEmail author


With the development of natural orifice transluminal endoscopic surgery (NOTES) and the advances in endoscopic devices, the repair of fistulas and perforations can be more readily performed endoscopically. In this chapter, we describe various devices used for these indications. These include over-the-scope clips, the OverStitch Endoscopic Suturing System, cardiac septal defect occluders, and others. All of these techniques have been shown to be effective in select cases in the current literature. Future device modifications to permit better range of motion and more intricate manipulations within small gastrointestinal luminal surfaces will continue to improve these interventions and patient outcomes.


Endoscopic closure Endoscopic suturing Over-the-scope clip Fistula closure Perforation closure 

Supplementary material

Video 7.1 Animation of the endoscopic suturing device closing a tissue defect (By Apollo Endosurgery) (MP4 13367 kb)


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Nikhil A. Kumta
    • 1
  • Ersilia M. DeFilippis
    • 1
  • Reem Z. Sharaiha
    • 1
  • Brian G. Turner
    • 2
    Email author
  1. 1.Department of Gastroenterology and Hepatology, Weill Cornell Medical CenterNew York Presbyterian HospitalNew YorkUSA
  2. 2.Department of GastroenterologyWeill Cornell Medical CollegeNew YorkUSA

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