Endoscopy 2020; 52(S 01): S251
DOI: 10.1055/s-0040-1704786
ESGE Days 2020 ePoster presentations
Thursday, April 23, 2020 09:00 – 17:00 Clinical endoscopic practice ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

ENDOSCOPIC SUTURING FOR A CHALLENGING CASE OF A PERSISTENT POST-RADIATION BRONCHO-ESOPHAGEAL FISTULA

R Palma
1   Humanitas – Research Hospital, Rozzano, Italy
2   Sapienza University of Rome, Rome, Italy
,
R Maselli
1   Humanitas – Research Hospital, Rozzano, Italy
,
VM Ormando
1   Humanitas – Research Hospital, Rozzano, Italy
,
A Fugazza
1   Humanitas – Research Hospital, Rozzano, Italy
,
G Pellegatta
1   Humanitas – Research Hospital, Rozzano, Italy
,
A Anderloni
1   Humanitas – Research Hospital, Rozzano, Italy
,
PA Galtieri
1   Humanitas – Research Hospital, Rozzano, Italy
,
EC Ferrara
1   Humanitas – Research Hospital, Rozzano, Italy
,
M Di Leo
1   Humanitas – Research Hospital, Rozzano, Italy
,
S Carrara
1   Humanitas – Research Hospital, Rozzano, Italy
,
A Repici
1   Humanitas – Research Hospital, Rozzano, Italy
3   Humanitas – University, Rozzano, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

 

Endoscopic suturing is an alternative to surgical treatment for a number of applications in gastrointestinal care.

A 59 year-old man underwent a gastroscopy that revealed a post-radiation mid-esophageal stricture and a 25 mm fistula connecting the cervical esophagus with a right lung bronchus.

The OverStitch Sx was introduced into the esophagus without an overtube. One running suture was performed to tightly appose the edges of the fistula and completely seal the defect. Finally, a FCSEMS was placed. The suturing time was 24 minutes.

This device can be a valuable tool in the armamentarium for the management of complex situations.