ASGE International Sampler (On-Demand)-Esophageal leaks and fistulae – choosing your intervention (stent vs. not stent, clip, wound vac, etc.)

Esophageal leaks and fistulae – choosing your intervention (stent vs. not stent, clip, wound vac, etc.)

Video Transcription

Video Summary

Dr. Andy Thao, a gastroenterologist, discusses esophageal leaks and fistulas in this talk. He emphasizes the importance of addressing the four Ds: drainage, diversion, diet, and distal obstruction in managing these conditions. Dr. Thao explains different modalities such as stents and endoscopic vacuum therapy used for closure based on the defect size and soilage of the cavity. He stresses the need for proper drainage, especially in cases of mediastinitis, comparing it to pancreatitis. The talk includes case scenarios and highlights the approach to acute and chronic leaks, emphasizing primary versus secondary closure methods. Dr. Thao showcases endoscopic techniques like tissue apposition clips and endoscopic vacuum therapy in managing these challenging cases, underscoring the significance of multidisciplinary approaches and utilizing imaging for optimal patient outcomes.

Asset Subtitle

Jianhua (Andy) Tau, MD

Meta Tag

Concept Esophageal Defect Closure

Concept Drainage

Concept Diversion

Concept Distal Obstruction

Concept Esophageal Perforation

Keywords

esophageal leaks

fistulas

endoscopic vacuum therapy

multidisciplinary approaches

imaging

Esophageal Defect Closure

Drainage

Diversion

Distal Obstruction

Esophageal Perforation