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 …

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Colovaginal fistula closure using a cardiac septal defect occluder

Post written by Omar Sadiq, MD, from the Division of Gastroenterology, Henry Ford Hospital, Detroit, Michigan. We present a case of a 70-year-old woman who developed a colovaginal fistula following debulking surgery for stage 3 ovarian carcinoma. She refused further surgical intervention, and endoscopic interventions such as over-the-scope clips and endoscopic suturing were not successful. …

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Endoluminal vacuum therapy in the management of a large gastrobronchial fistula

Post written by Sarah Durbin, BS, Jose Luis Aranez, MD, and Robert Jay Sealock, MD, from the Baylor College of Medicine, Houston, Texas. The case details a patient with a distant history of esophagectomy with gastric conduit that presented with a large gastrobronchial fistula resulting in necrotizing pneumonia. The patient was not an immediate candidate …

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Endoscopic vacuum therapy for postoperative GI fistula

Post written by Mateus Pereira Funari, MD, Antonio Madruga Coutinho Neto, MD, Galileu Ferreira Ayala Farias, MD, Eduardo Guimarães Hourneaux de Moura, MD, PhD, Marcos Eduardo Lera dos Santos, MD, from the Clinics Hospital of the São Paulo University Medical School (HC-FMUSP), São Paulo, São Paulo, Brazil. We describe the case of a 70-year-old male …

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EUS-guided cyanoacrylate glue injection for treatment of anourethral fistula

Post written by Malay Sharma, MD, DM, from the Jaswant Rai Specialty Hospital, Meerut, Uttar Pradesh, India. A 35-year-old man presented with recurrent urinary tract infection requiring multiple courses of antibiotics for the past 15 years. He had undergone surgery for an imperforate anus at birth, and an anal stricture developed, which required repeated bougienage …

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Treating refractory esophago-cutaneous fistula

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 …

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Fistula closure using a ventricular septal occluder

Vivek Kumbhari, MD from the Department of Medicine and Division of Gastroenterology and Hepatology at The Johns Hopkins Medical Institutions in Baltimore, Maryland, USA shares this video case "Closure of a large, persistent enterocutaneous fistula by use of a ventricular septal occluder." We demonstrate the use of a ventricular septal occluder (Amplatzer; St Jude Medical, Plymouth, …

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