ASGE DDW Videos from Around the World | 2024-HELICAL TACK CLOSURE OF A FAILED DUODENAL PERFORATION REPAIR

HELICAL TACK CLOSURE OF A FAILED DUODENAL PERFORATION REPAIR

Video Transcription

Video Summary

In the video case report presented by Mikael Quattrone, a helical TAC closure was used to manage a persistent duodenal leak after initial surgical repair. The patient, a 74-year-old female with COPD, showed evidence of a perforation on CT scan post-surgery, leading to endoscopic evaluation. Multiple tacking systems were deployed to close the defect adequately. Biopsies were taken, and endoscopic clips were placed to prevent future bleeding. After completion, there was no persistent leak, and the patient was discharged successfully after a one-month follow-up. The report emphasizes the efficacy of helical tack closure as an endoscopic management option for such cases and the significance of interdisciplinary collaboration for optimal patient care.

Asset Subtitle

McKell Quattrone

Meta Tag

Concept Duodenal Leakage

Concept Helical Tack System

Concept Postoperative Duodenal Leak

Concept Endoscopic Management

Concept Surgical Repair

Keywords

helical TAC closure

persistent duodenal leak

surgical repair

endoscopic evaluation

interdisciplinary collaboration

Duodenal Leakage

Helical Tack System

Postoperative Duodenal Leak

Endoscopic Management

Surgical Repair