UGI Stomach Duodenum-TREATMENT OF JEJUNAL DUODENAL ANASTOMOSIS DEHISCENCE WITH ENDOSCOPIC VACUUM THERAPY

TREATMENT OF JEJUNAL DUODENAL ANASTOMOSIS DEHISCENCE WITH ENDOSCOPIC VACUUM THERAPY

Video Transcription

Video Summary

The video discusses the treatment of dejunal duodenal anastomosis dehiscence using endoscopic vacuum therapy (EVT). The clinical case presented is about an 81-year-old woman with weight loss and changes in stool consistency. Colonoscopy revealed lesions in the descending colon and rectum, which were treated with endoscopic submucosal dissection. Histological analysis showed low-grade dysplasia in the rectum and invasive adenocarcinoma in the colon. During partial left colectomy, an inadvertent duodenal injury occurred and was repaired. However, the patient deteriorated, leading to a diagnosis of duodenal dehiscence and severe acute pancreatitis. Conservative treatment failed, so EVT using a nesogastric tube with negative pressure was chosen. The procedure resulted in closure of the anastomosis dehiscence, and the patient showed improvement and eventually discharged from the hospital. The study concludes that EVT is a promising technique for treating gastrointestinal fistulas and dehiscence, especially when other methods fail.

Asset Subtitle

World Cup - Authors: Marcos Eduardo Lera dos Santos, Igor M. Proença, Fernando L. Ponte, Gabriel M. Souza, Antonio C. Madruga Neto, Facundo Galetti, Epifanio S. Do Monte, Diogo T. De Moura, Igor Braga Ribeiro, Vitor M. Sagae, Maria Vitória Cury Vieira Scatimburgo, Eduardo G. De Moura

Keywords

treatment

dejunal duodenal anastomosis dehiscence

endoscopic vacuum therapy

EVT

gastrointestinal fistulas