ASGE DDW Videos from Around the World | 2024-PLUG AND PLAY: MANAGEMENT OF A REFRACTORY COLOCUTANEOUS FISTULA

PLUG AND PLAY: MANAGEMENT OF A REFRACTORY COLOCUTANEOUS FISTULA

Video Transcription

Video Summary

Chronic colocutaneous fistulas can be challenging to manage, especially when traditional therapies fail. Endoscopic therapy with vascular plug occlusion is a new approach to treating these complex gastrointestinal conditions. A case study involving a 62-year-old man with a persistent fistula showed successful treatment with a lumen opposing metal stent and subsequent vascular plug therapy. The vascular plug was delivered endoscopically using a modified catheter, leading to resolution of the fistula. This innovative method offers a promising non-operative solution for refractory fistulas, with the potential for improved outcomes in long-term management.

Asset Subtitle

Video Plenary
Shiv Gandhi

Keywords

colocutaneous fistulas

endoscopic therapy

vascular plug occlusion

gastrointestinal conditions

non-operative solution