ASGE International Sampler (On-Demand) | 2024-RETROGRADE ENDOSCOPIC ULTRASOUND GUIDED ENTERO-ENTEROSTOMY USING A LUMEN APPOSING METAL STENT FOR THE MANAGEMENT OF A HIGH OUTPUT ENTEROCUTANEOUS FISTULA AND ILEAL STRICTURE IN A COMPLEX SURGICAL ABDOMEN

RETROGRADE ENDOSCOPIC ULTRASOUND GUIDED ENTERO-ENTEROSTOMY USING A LUMEN APPOSING METAL STENT FOR THE MANAGEMENT OF A HIGH OUTPUT ENTEROCUTANEOUS FISTULA AND ILEAL STRICTURE IN A COMPLEX SURGICAL ABDOMEN

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Video Transcription

Video Summary

The video presents a case of a 26-year-old male with severe abdominal injuries and complications following a gunshot wound. After multiple surgeries, including the creation of a colostomy, he developed a high-output endocutaneous fistula and an ileostricture. Due to the risks associated with surgery, endoscopic management was pursued. Using a retrograde EUS-guided approach, a lumen-opposing metal stent was deployed to create enteroenterostomy, resolving the issues and allowing for healing of the abdominal flap. This innovative technique showcased the successful use of electrocautery-enhanced luminal positioning with a metal stent in a challenging surgical case.

Asset Subtitle

World Cup
Authors: Sunil Gupta, Eimear Kirby, Sarang Gupta, Katarzyna M. Pawlak, Joao De Rezende-Neto, Gary R. May, Jeffrey D. Mosko, Natalia Calo

Keywords

abdominal injuries

gunshot wound

endoscopic management

lumen-opposing metal stent

electrocautery-enhanced