ASGE DDW Videos from Around the World | 2023-CATHETER BASED DEPLOYMENT OF VASCULAR PLUGS FOR THE MANAGEMENT OF GASTRIC FISTULAE

CATHETER BASED DEPLOYMENT OF VASCULAR PLUGS FOR THE MANAGEMENT OF GASTRIC FISTULAE

Video Transcription

Video Summary

The video discusses the use of vascular plugs to close gastric fistulae, a complication of bariatric surgery. Gastric fistulae can be difficult to treat, but vascular plugs are emerging as a new tool that may be effective. However, the diameter of these devices is a limitation, as they cannot be deployed in tight fistulae. The video presents two cases where vascular plugs were successfully used to close gastrogastric and gastrobronchial fistulae. The procedure involves using a modified catheter to guide the vascular plug to the target defect and deploying it using a pin vice. The patients in both cases experienced symptomatic improvement postoperatively. The video notes that further research is needed to fully understand the potential and limitations of vascular plugs in gastrointestinal tract disorders.

Asset Subtitle

Video Plenary
Authors: Prashanth Rau, Philip McNamara, Ikechukwu Achebe, Dimitri Belkin, Odel Zadeh, Neil B. Marya

Keywords

vascular plugs

gastric fistulae

bariatric surgery

gastrogastric fistulae

gastrobronchial fistulae