ASGE DDW Videos from Around the World | 2023-TREATMENT OF BRONCHOESOPHGEAL FISTULA WITH SEPTAL OCCLUDER DEVICE

TREATMENT OF BRONCHOESOPHGEAL FISTULA WITH SEPTAL OCCLUDER DEVICE

Video Transcription

Video Summary

The video discusses the treatment of a bronchoesophageal fistula with a septal occluder device. Bronchoesophageal fistulas can be congenital or acquired, and the common causes for acquired fistulas include malignancy, trauma, surgery, and infections. Various endoscopic management options have been explored, such as over-the-scope clips and stents. The septal occluder device, typically used for cardiac septal defects, has been described in case reports for the treatment of esophageal respiratory fistulas. The video presents a case of a 42-year-old female with AIDS who had a persistent bronchoesophageal fistula. A multidisciplinary team decided to perform a joint procedure to close the fistula using a septal occluder device. The device consists of two dumbbell-shaped discs that close the fistula and promote tissue growth. The procedure involved visualizing the fistula and reducing its size, passing a guide wire through it, and deploying the septal occluder device. Follow-up imaging showed no leakage, and the patient tolerated the treatment well. It is noted that further evaluation is needed to assess the long-term efficacy and safety of this approach. No credits were mentioned in the transcript.

Asset Subtitle

Honorable Mention

Keywords

bronchoesophageal fistula

septal occluder device

congenital

acquired fistulas

endoscopic management options