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ACG Case Rep J. 2017; 4: e60.
Published online 2017 April 26. doi:  10.14309/crj.2017.60
PMCID: PMC5407358

Endoscopic Fistulotomy Heals a Y-Shaped Entero-Entero-Cutaneous Fistula

Helen Lee, MD1 and Bo Shen, MDcorresponding author2


Patients may develop fistulas due to Crohn’s disease or as a postoperative complication after restorative proctocolectomy with ileal pouch anal anastomosis. Unfortunately, the treatment of fistulas can be challenging. The current standard of care may include medical therapy and/or surgical intervention. However, endoscopic treatment for postoperative pouch complications has emerged as a valid alternative option. We describe a case of persistent drainage from a Y-shaped entero-entero-cutaneous fistula that resolved after endoscopic fistulotomy with needle knife.

Articles from ACG Case Reports Journal are provided here courtesy of American College of Gastroenterology