ASGE DDW Videos from Around the World | 2025-ENDOSCOPIC CLOSURE OF A LARGE GASTRO-GASTRIC FISTULA

ENDOSCOPIC CLOSURE OF A LARGE GASTRO-GASTRIC FISTULA

Video Transcription

Video Summary

A rise in bariatric surgeries has increased the incidence of gastrointestinal (GI) fistulas, traditionally managed surgically. Endoscopic therapies now offer improved outcomes, yet closing large fistulas remains challenging. This case study details a successful endoscopic closure of a 15-centimeter gastrogastric fistula in a 46-year-old post-gastric bypass patient. The procedure involved endoscopic evaluation, organ plasma coagulation, and circumferential suturing with the application of Puristat to enhance healing. Endoscopic evaluation showed complete closure. The case underscores the necessity for personalized treatment and highlights advances in endoscopic approaches for managing complex fistulas effectively.

Asset Subtitle

Joelle Sleiman

Keywords

bariatric surgery

endoscopic therapy

gastrointestinal fistula

gastrogastric fistula

personalized treatment