Other-ENDOSCOPIC TREATMENT OF A COMPLICATED CHOLECYSTOCHOLIC FISTULA WITH ORO-ANAL RENDEZ-VOUS

ENDOSCOPIC TREATMENT OF A COMPLICATED CHOLECYSTOCHOLIC FISTULA WITH ORO-ANAL RENDEZ-VOUS

Video Transcription

Video Summary

In this video, the speaker discusses the case of an 89-year-old woman who was admitted for repeated cholecystitis and sepsis. Since she was unfit for surgery, a permanent external gallbladder drain was placed but her condition worsened. The speaker explains the endoscopic treatment given to the patient, which aimed to prevent fecal contamination of the gallbladder and drain/clean it. They successfully identified the cholecystic or cholecystic fistula using contrast injection and performed a transcystic rendezvous with the use of a guide wire and colonoscope. An over-the-scope clip was deployed to close the fistula, followed by endoscopic ultrasound and gallbladder abridement. The patient showed improvement and was discharged without further cholecystitis in the following weeks. The video demonstrates the effectiveness of endoscopic treatment for complicated cholecystic or cholecystic fistulas. No credits were given in the transcript.

Asset Subtitle

Video Plenary - Authors: Khanh Do-Cong Pham, Roald F. Havre

Keywords

cholecystitis

sepsis

gallbladder drain

endoscopic treatment

cholecystic fistula