ASGE DDW Videos from Around the World | 2023-RESTORATION OF LUMINAL CONTINUITY ENDOSCOPICALLY

Video Transcription

Video Summary

This video transcript discusses the use of endoscopic procedures to restore bowel continuity in patients with anastomotic leaks, who are unfit for surgery due to comorbidities. The video presents a case study of a patient with multiple anastomotic breakdowns and infections post-lung resection. The patient's GI anatomy had discontinuous segments with leaks at every segment. In a multi-staged procedure, endoscopic methods were used to establish bowel continuity. This included placing a bridging stent to bypass a fistula between the esophago-gastric stump and remnant stomach and creating an endoscopic connection from the stomach to the jejunum. The use of stents and fistula plug successfully resolved leakage and infection, allowing the patient to resume normal gut function. The video concludes by emphasizing the clinical implications and efficacy of endoscopic approaches in managing discontinuous GI tracts and complications. No credits are granted.

Asset Subtitle

Honorable Mention

Keywords

endoscopic procedures

bowel continuity restoration

anastomotic leaks

unfit for surgery

comorbidities