Fernando P. Marson, MD, from the Hospital Sírio Libanês in São Paulo, Brazil presents this video case “Endoscopic esophagopexy for treatment of a refractory esophago-cutaneous fistula.”

The video showcases an interesting way of treating a refractory esophago-cutaneous fistula that had previously failed many standard endoscopic approaches.

It is important to demonstrate that the approximation of the healthy tissue surrounding the fistula may be paramount for a successful treatment. Our patient failed treatments using covered stents, clips, and glue. Also, is important to emphasize that this can be accomplished using basic endoscopic material applying techniques that are already well-known.

Endoscopists can learn that there are many kinds of fistula and the treatment should be adapted to each type of lesion.

Our experience shows that the most important aspect in gastrointestinal fistula treatment is the closure of the internal opening. This can also be accomplished using this suturing technique.

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