Bariatric Endoscopy-ENDOSCOPIC SEPTOTOMY FOR POST-BARIATRIC SURGERY FISTULA

ENDOSCOPIC SEPTOTOMY FOR POST-BARIATRIC SURGERY FISTULA

Video Transcription

Video Summary

This video transcript summarizes the case of a 67-year-old female patient who developed a gastrocutaneous fistula after undergoing Rooks NY gastric bypass surgery. The patient was initially treated with a nasoenteric catheter, but it was not successful. Eight months after surgery, an endoscopic assessment was performed. Sutures in the gastric pouch were removed, and the fistulose orifice was treated with ergon-plasma coagulation. A pigtail stent was inserted to assist with closure. However, the fistula was not completely closed. After three months, a septotomy was performed, and a fully covered self-expandable metallic stent was placed. One month later, the fistula was completely closed. The conclusion is that endoscopic septotomy is a safe and effective alternative for treating post-bariatric gastrocutaneous fistulas. The primary author is Mateus Mugosian, with co-authors Mateus Funari, Epifanio Júnior, Rodrigo Rocha, Diogo de Moura, Thiago Sousa, and Eduardo de Moura.

Asset Subtitle

Honorable Mention

Keywords

gastrocutaneous fistula

Rooks NY gastric bypass surgery

endoscopic assessment

ergon-plasma coagulation

self-expandable metallic stent