Endoscopy 2020; 52(S 01): S133
DOI: 10.1055/s-0040-1704409
ESGE Days 2020 ePoster Podium presentations
Thursday, April 23, 2020 09:30 – 10:00 Management of fisulas and foreign bodies ePoster Podium 4
© Georg Thieme Verlag KG Stuttgart · New York

NOVEL ENDOSCOPIC MANAGEMENT OF A CHRONIC GASTRO-GASTRIC FISTULA USING A CARDIAC SEPTAL DEFECT OCCLUDER

DTH de Moura
1   University of São Paulo Medical School - Gastrointestinal Endoscopy Unit, São Paulo, Brazil
,
AM da Ponte-Neto
1   University of São Paulo Medical School - Gastrointestinal Endoscopy Unit, São Paulo, Brazil
,
IB Ribeiro
1   University of São Paulo Medical School - Gastrointestinal Endoscopy Unit, São Paulo, Brazil
,
KE Hathorn
2   Brigham and Women’s Hospital, Division of Gastroenterology, Hepatology and Endoscopy, Boston, U S A
,
ES do Monte Junior
1   University of São Paulo Medical School - Gastrointestinal Endoscopy Unit, São Paulo, Brazil
,
M Coronel
1   University of São Paulo Medical School - Gastrointestinal Endoscopy Unit, São Paulo, Brazil
,
A Baptista
3   Caracas Clinical Hospital, Caracas, Venezuela
,
CC Thompson
2   Brigham and Women’s Hospital, Division of Gastroenterology, Hepatology and Endoscopy, Boston, U S A
,
EGH de Moura
1   University of São Paulo Medical School - Gastrointestinal Endoscopy Unit, São Paulo, Brazil
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

 

Closure of gastro-gastric(GG) fistulas after Roux-en-Y gastric bypass(RYGB) it’s a challenge. A 51-year-old woman, status-post RYGB in 2008, presented with a six-month history of weight regain and reflux. She had regained weight to 84kg when she was found to have a GG fistula. She underwent successful Cardiac septal defect occluders(CSDO) placement, and 3-months later, had lost 10kg with improvement in her reflux. Repeat evaluation confirmed successful closure without contrast leak. This is the first report of use of a CSDO for closure of a GG fistula. The use of CSDO was technically feasible and appeared to be effective and safe.