ASGE DDW Videos from Around the World | 2023-CLOSURE OF BILIOENTERIC ANASTOMOTIC DEHISCENCE USING A THROUGH THE SCOPE ENDOSCOPIC TACK AND SUTURE SYSTEM

CLOSURE OF BILIOENTERIC ANASTOMOTIC DEHISCENCE USING A THROUGH THE SCOPE ENDOSCOPIC TACK AND SUTURE SYSTEM

Video Transcription

Video Summary

Summary: In this video, the closure of bilioenteric anastomotic dehiscence is explored using a through-the-scope endoscopic tacking and suturing system. The case involves a 63-year-old male with a history of surgical complications after a pancreaticoduodenectomy. The initial repair of the bile leaks was ineffective, and endoscopic suturing using low-profile helical tacks is attempted. Three sets of four endoscopic tacks are deployed to gradually close the defect, and a fourth set is used to reinforce the anastomosis. A metal stent is temporarily placed to divert bile flow. The patient remains asymptomatic without recurrence of bile leaks after six months. The video concludes that through-the-scope endoscopic suturing is a viable and minimally invasive approach for repairing bileoenteric anastomotic dehiscence in altered post-surgical anatomy.

Asset Subtitle

Honorable Mention

Keywords

closure

bilioenteric anastomotic dehiscence

through-the-scope endoscopic tacking

suturing system

pancreaticoduodenectomy