ASGE DDW Videos from Around the World | 2024-DUODENO COLONIC FISTULA CLOSURE USING A VASCULAR SELF EXPANDING NITINOL WIRE MESH DEVICE

DUODENO COLONIC FISTULA CLOSURE USING A VASCULAR SELF EXPANDING NITINOL WIRE MESH DEVICE

Video Transcription

Video Summary

A rare duodenocolonic fistula caused severe symptoms of diarrhea and weight loss in a woman with metastatic neuroendocrine tumor. Traditional treatment involves surgical closure, but this case utilized endoscopic closure with a nitinol wire mesh device. The procedure involved advancing the device from the duodenum to the colon, deploying it in the fistula-less tract while also placing a stent in the duodenum. The success of this minimally invasive approach highlights an alternative to surgical management for duodenocolonic fistulas, which typically result from benign or malignant GI conditions and manifest with diarrhea as a primary symptom.

Asset Subtitle

Laurens Janssens

Keywords

duodenocolonic fistula

metastatic neuroendocrine tumor

endoscopic closure

nitinol wire mesh device

minimally invasive approach