Other-TRANS-COLONIC NECROSECTOMY WITH ENDOSCOPIC CLOSURE USING CLIP LOOP TECHNIQUE TURNING ADVERSITY INTO OPPORTUNITY

TRANS-COLONIC NECROSECTOMY WITH ENDOSCOPIC CLOSURE USING CLIP LOOP TECHNIQUE TURNING ADVERSITY INTO OPPORTUNITY

Video Transcription

Video Summary

In this video, the case of a 68-year-old obese female with multiple comorbidities who developed gallstone-related acute necrotizing pancreatitis is discussed. After percutaneous catheter drainage was placed, there was a deterioration of symptoms and a colonic fistula was suspected. The patient underwent transcolonic necrosectomy using CO2 insufflation, with the colonic rent subsequently closed using a clip-loop technique. Three sessions of necrosectomy were performed, and the post-procedure imaging showed no residual collection. The patient improved and was discharged after the removal of the percutaneous catheter. This case demonstrates that endoscopic techniques can be used to manage colonic fistulas in cases of acute pancreatitis, avoiding surgical intervention.

Asset Subtitle

World Cup - Authors: Jayanta Samanta, Jimil Shah, Gaurav Muktesh, Naveen Kumar, Jahnvi Dhar, Pankaj Gupta, Vikas Gupta, Rakesh Kochhar

Keywords

obese female

comorbidities

gallstone-related acute necrotizing pancreatitis

transcolonic necrosectomy

colonic fistula