Endoscopic fistula closure using a duodenoscope and the reopenable-clip over the line method

E-VideosVideo 1 Defect closure using a duodenoscope and the reopenable-clip over-the-line method. Fig. 1 Actual fistula closure using a duodenoscope and the ROLM.a Duodenum and retro- peritoneal abscess seen on fluoroscopy.Leakage from the duodenal fistula to the retroperitoneum is seen (yellow arrow).b Endoscopic image of the fistula using a duodenoscope.c First clip with line placed at the edge of the fistula.d A re-openable with a line threaded through one tooth is placed on the defect edge.e The defect after repeated ROLM.f Fluoroscopy after ROLM fistula closure with no leakage into the retroperitoneum.Abbreviation: ROLM,