ASGE DDW Videos from Around the World | 2022-BRIDGING THE GAP TO SURGERY: ENDOSCOPIC MANAGEMENT OF A MASSIVE GASTROCOLIC FISTULA

BRIDGING THE GAP TO SURGERY: ENDOSCOPIC MANAGEMENT OF A MASSIVE GASTROCOLIC FISTULA

Video Transcription

Video Summary

The video discusses the management of gastrocolic fistulas, which are rare but serious complications of abdominal radiation therapy. While surgical resection is the primary treatment option, endoscopic closure has also been reported. The video presents a novel method of gastrocolic fistula closure using a combination of endoscopic stenting and suturing as a bridge to definitive surgical management. The case of a 50-year-old woman with a recurrent leiomyosarcoma is discussed, along with the decision-making process for treatment. The video demonstrates the placement of a fully covered metal stent, suturing of the fistulas, and successful closure of the fistulas. It highlights the importance of multidisciplinary collaboration and the effectiveness of this approach as a bridge to surgery.

Keywords

gastrocolic fistulas

abdominal radiation therapy

surgical resection

endoscopic closure

endoscopic stenting