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

Authors

  • 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
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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    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.