ASGE DDW Videos from Around the World | 2023-A ROCK IN A HARD PLACE REMOVAL OF A LARGE FECALITH ASSISTED BY MECHANICAL LITHOTRIPSY

A ROCK IN A HARD PLACE REMOVAL OF A LARGE FECALITH ASSISTED BY MECHANICAL LITHOTRIPSY

Video Transcription

Video Summary

The video discusses the case of a 69-year-old man with Crohn's-like pouchitis who had a large fecalith in the ilioanal anastomosis. Initial attempts to remove it with an endoscopic net and other tools were unsuccessful. After 90 days, a repeat pouchoscopy was done, and a mechanical lithotriptor was used to fragment the fecalith. The fragments were then removed with the endoscopic net. It is noted that standard techniques for fecalith removal may work for small fecaliths, but for large ones or in cases with anatomical challenges, such as surgical anastomosis or strictured lumens, lithotripsy can be an effective technique. No complications occurred during the procedure. Credit: Digestive Health Clinic.

Asset Subtitle

Honorable Mention

Keywords

Crohn's-like pouchitis

fecalith

ilioanal anastomosis

endoscopic net

mechanical lithotriptor