Post written by Shailendra Singh, MD, and Ethan Cohen, MD, from West Virginia University, Morgantown, West Virginia, USA. This video case series highlights the novel application of cardiac septal occluder (CSO) devices for endoscopic closure of esophageal, gastric, jejunal, and rectal fistulas. Traditionally, managing these complex fistulas and anastomotic leaks has been challenging, often requiring multiple endoscopic attempts …
Tag: fistula
Towing the stent to manage malignant gastro-entero-colonic fistula and colonic obstruction
Post written by Mayank Goyal, MBBS, and Navtej Buttar, MD, from Mayo Clinic, Rochester, Minnesota, USA. A 51-year-old man presented with an iatrogenic gastro-entero-colonic fistula after incorrect deployment of a colonic stent that was initially intended to bypass a malignant stenosis at the splenic flexure. The stent was uncovered but fortunately migrated. However, the resulting fistula led to …
Endoscopic treatment of nonoperable large postsurgical esophageal fistulas: retrospective analysis of a single tertiary center cohort
Post written by Sebastian Petruzzella, MSc, from the Department of Gastroenterology and Hepatology, CHUV, Lausanne’s University Hospital, Lausanne, and the Department of Surgery, Hôpital Riviera-Chablais, Rennaz, Switzerland. Our study focused on the efficacy of endoluminal treatment of postsurgical fistulas after esophagectomy. Not all patients are fit to be reoperated on after an anastomotic leak, and surgical …
Endoscopic diagnosis and treatment of a pyriform sinus-cutaneous fistula in a non-pediatric patient: thinking outside the box
Post written by iGIE iNTERNATIONAL Associate Editor Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, Post-PhD, from the Gastrointestinal Endoscopy Division, Hospital Vila Nova Star, Instituto D’Or de Pesquisa e Ensino, and the Gastrointestinal Endoscopy Unit, Gastroenterology Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. The goal of this …
Novel method for refractory tracheoesophageal fistula closure: modified polydioxanone suture mesh with fibrin glue
Post written by Biswa Ranjan Patra, MD, DM, from Seth GS Medical College and KEM Hospital, Mumbai, India. Refractory tracheoesophageal fistulas (TEFs) are difficult to treat, even with various surgical or endoscopic modalities. This case involves a 5-year-old child with a congenital TEF that recurred after 2 surgical corrections and endoscopic attempts at closure. We describe …
Management of a gastric pouch staple-line leak and its adverse events with multimodal endoscopic techniques including endoscopic vacuum therapy
Post written by Khanh Hoang Nicholas Le, MD, MS, from the University of California San Diego Medical Center, San Diego, California, USA. This video describes a 48-year-old woman with history of a mini-gastric bypass converted to a Roux-en-Y gastric bypass who was found to have a gastric pouch staple-line (GPSL) leak, later complicated by a gastrogastric …
Duodenal stenting as a palliative approach to a malignant duodenocolonic fistula
Post written by Yassmin Hegazy, MD, from the Department of Medicine and the Department of Internal Medicine, University of Alabama Birmingham Hospital, Birmingham, Alabama, USA. Our case is about a 73-year-old man with a history of GERD and diabetes mellitus who presented with a 1-week history of hematochezia with associated nausea, vomiting, diarrhea, and epigastric pain. …
Continue reading Duodenal stenting as a palliative approach to a malignant duodenocolonic fistula
Use of a novel endoscopic tack and suture system for the management of pancreatocolonic fistula
Post written by Arunkumar Krishnan, MBBS, from the Section of Gastroenterology and Hepatology, West Virginia University School of Medicine, Morgantown, West Virginia, USA. We demonstrate a technique for the closure of pancreatocolonic fistulae (PCF) using an X-Tack Endoscopic HeliX System (Apollo Endosurgery, Austin, Tex, USA). GI tract fistulation is an uncommon but important consequence of acute …
Endoscopic management of gastrojejunocolic fistula after endoscopic gastrojejunostomy
Post written by Tamasha Persaud, MD, from New York Presbyterian/Weill Cornell Medical Center, New York, New York, USA. In this video case report, we describe the formation of a gastrojejunocolic fistula (GCF) as a rare delayed sequela of EUS-guided gastrojejunostomy (EUS-GJ) and demonstrate how tandem stent placement with a long covered metal stent can be an …
Closure of a chronic complex tracheoesophageal fistula by using endoscopic suturing
Post written by Ariel A. Benson, MD, from the Faculty of Medicine, Hebrew University of Jerusalem, and the Institute of Gastroenterology and Hepatology, Hadassah University Medical Center, Jerusalem, Israel. In this video we describe the evaluation and treatment of a chronic, symptomatic tracheoesophageal (TE) fistula in an adult patient. The etiology of the patient’s TE …
Continue reading Closure of a chronic complex tracheoesophageal fistula by using endoscopic suturing
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