Advanced Endoscopy Fellows Program | September 2024-Fellows Presentation

Fellows Presentation - Sealing the Tract

Video Transcription

Video Summary

The transcript details a novel approach for closing an anterior cutaneous fistula using endoscopy and a cardiac septal occluder device, which is typically off-label. A 61-year-old woman with metastatic colon cancer had an anterior cutaneous fistula, and traditional surgical management was not viable. Multiple attempts using endoscopic methods failed to reach the fistula. Finally, a septal occluder was successfully used under fluoroscopic guidance, and the patient showed no drainage on follow-up. This case highlights the importance of innovative solutions and a multidisciplinary approach when faced with challenging medical conditions.

Keywords

anterior cutaneous fistula

endoscopy

cardiac septal occluder

fluoroscopic guidance

multidisciplinary approach