ASGE DDW Videos from Around the World | 2025-ENDOSCOPIC CLOSURE OF A TRACHEO-GASTRIC FISTULA USING AN AMPLATZER ATRIAL SEPTAL OCCLUDING DEVICE

ENDOSCOPIC CLOSURE OF A TRACHEO-GASTRIC FISTULA USING AN AMPLATZER ATRIAL SEPTAL OCCLUDING DEVICE

Video Transcription

Video Summary

A 71-year-old woman developed a tracheal gastric fistula following an esophagectomy for esophageal cancer. Traditional endoscopic closure was deemed ineffective, leading to the use of an Amplatzer septal occlusion device. The procedure involved deploying the device across the fistula into the trachea under fluoroscopic and endoscopic guidance. The post-procedure results were successful, with no pain, dysphagia, or further aspiration. A modified barium swallow confirmed no leakage, and the patient's pneumonia symptoms resolved. This case highlights the effectiveness of using cardiac atrial septal occlusion devices for tracheogastric fistula closure without surgery.

Asset Subtitle

Franklin Kasmin

Meta Tag

Concept Gastro-tracheal Fistula

Concept Esophagram

Concept Cardiac Septal Occluder

Concept Esophagectomy

Concept Gastric Pull-Up

Keywords

tracheogastric fistula

Amplatzer septal occlusion

esophagectomy

endoscopic closure

barium swallow

Gastro-tracheal Fistula

Esophagram

Cardiac Septal Occluder

Esophagectomy

Gastric Pull-Up