Endoscopy 2020; 52(S 01): S177
DOI: 10.1055/s-0040-1704549
ESGE Days 2020 ePoster Podium presentations
Friday, April 24, 2020 11:30 – 12:00 Endoscopic management of fistulaand leakages ePoster Podium 4
© Georg Thieme Verlag KG Stuttgart · New York

MODIFIED ENDOSCOPIC VACUUM THERAPY IN THE MANAGEMENT OF A DUODENAL TRANSMURAL DEFECT

DTH de Moura
1   University of São Paulo Medical School - Gastrointestinal Endoscopy Unit, São Paulo, Brazil
,
ES do Monte Junior
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, United States of America
,
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
,
FS de Medeiros
3   Universidade Federal do Rio Grande do Norte, Natal, Brazil
,
M Coronel
1   University of São Paulo Medical School - Gastrointestinal Endoscopy Unit, São Paulo, Brazil
,
CC Thompson
2   Brigham and Women’s Hospital, Division of Gastroenterology, Hepatology and Endoscopy, Boston, United States of America
,
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)

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Gastrointestinal transmural defects are difficult to manage and are associated with high rates of morbidity and mortality. A 64-year-old man with cholangiocarinoma status-post right hepatectomy presented on post-operative day 30 with sepsis and melena. EGD and CT scan showed a transmural duodenal wall defect associated with fluid collection. Endoscopic vacuum therapy(EVT) was considered. The patient was successfully treated with the modified EVT system, followed by 4 EVT system exchanges, and was discharged from the hospital 24-days after his initial procedure. This novel cost-effective modified EVT is feasible and appears to be as safe and effective as the traditional EVT system.