Endoscopy 2018; 50(04): S183
DOI: 10.1055/s-0038-1637596
ESGE Days 2018 ePosters
Georg Thieme Verlag KG Stuttgart · New York

ENDOSCOPIC MANAGEMENT OF A PATIENT WITH A DUODENAL BULB FISTULA AFTER LAPAROSCOPIC CHOLECYSTECTOMY: A VIDEO-CASE

M Fragaki
1   Venizelion General Hospital, Department of Gastroenterology, Heraklion, Greece
,
I Dimas
1   Venizelion General Hospital, Department of Gastroenterology, Heraklion, Greece
,
A Mpitouli
1   Venizelion General Hospital, Department of Gastroenterology, Heraklion, Greece
,
M Velegraki
1   Venizelion General Hospital, Department of Gastroenterology, Heraklion, Greece
,
G Paspatis
1   Venizelion General Hospital, Department of Gastroenterology, Heraklion, Greece
› Author Affiliations
Further Information

Publication History

Publication Date:
27 March 2018 (online)

Also available at
 

A 74-year-old woman was referred to our hospital for ERCP due to bile leakage after laparoscopic cholecystectomy. In the gastroscopy there was a fistula at the anterior upper wall of the duodenal bulb, possibly due to prior perforation. An OTSC clip was applied after evaluating the quality of the surrounding tissue. The OTSC closure was successful. The patient was discharged without any other intervention. The patient was reassessed 5 months later.

Conclusion:

The endoscopic approach is successful and safe in the majority of patients with gastrointestinal fistulae. Therefore, endoscopic treatment should be attempted before resorting to more invasive, costly and risky re-interventions.