ASGE DDW Videos from Around the World | 2025-MANAGEMENT OF REFRACTORY GASTROINTESTINAL FISTULAS USING CARDIAC SEPTAL OCCLUDER DEVICE A CASE SERIES

MANAGEMENT OF REFRACTORY GASTROINTESTINAL FISTULAS USING CARDIAC SEPTAL OCCLUDER DEVICE A CASE SERIES

Video Transcription

Video Summary

This case series explores the use of cardiac septal occluder devices (CSOs) for managing refractory gastrointestinal (GI) fistulas, which are persistent despite conventional endoscopic treatments. CSOs, initially designed for cardiac applications, promote tissue ingrowth and occlusion, offering a promising alternative for GI fistula closure. The study presents six successful cases where CSOs were used after other interventions failed. Results showed no adverse events and significant fistula closure, demonstrating CSOs' effectiveness. However, larger studies with extended follow-ups are recommended to confirm these findings and their long-term benefits for GI fistula management.

Asset Subtitle

Shailendra Singh

Meta Tag

Concept Gastrointestinal Fistula

Concept Cardiac Septal Occluder

Concept Refractory Fistula

Concept Spontaneous Closure

Concept Endoscopic Therapy

Keywords

cardiac septal occluder devices

gastrointestinal fistulas

endoscopic treatments

tissue ingrowth

long-term benefits

Gastrointestinal Fistula

Cardiac Septal Occluder

Refractory Fistula

Spontaneous Closure

Endoscopic Therapy