ASGE DDW Videos from Around the World | 2025-PER ORAL TRANSTHORACIC RENDEZVOUS FOR ENDOSCOPIC CLOSURE OF PERSISTENT GASTROPLEURAL FISTULA THAT FAILED SURGICAL MANAGEMENT

PER ORAL TRANSTHORACIC RENDEZVOUS FOR ENDOSCOPIC CLOSURE OF PERSISTENT GASTROPLEURAL FISTULA THAT FAILED SURGICAL MANAGEMENT

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Video Transcription

Video Summary

This video discusses a complex case of a 38-year-old woman with a persistent gastropleural fistula post-sleeve gastrectomy. Traditional surgical approaches failed, leading to a novel endoscopic intervention informed by the LIFT procedure used for perianal fistulas. The patient's treatment involved a staged approach: initially, a submucosal tunnel dissection and resection of the epithelialized tract, followed by a transthoracic rendezvous to ablate the fistula. Ultimately, the method achieved closure, with the patient experiencing no leak post-procedure. This case underscores the importance of multidisciplinary approaches and innovative techniques in managing challenging fistulas.

Asset Subtitle

Video Plenary Session II
Daniel Hashimoto

Keywords

gastropleural fistula

endoscopic intervention

LIFT procedure

sleeve gastrectomy

multidisciplinary approach