Endoscopy 2020; 52(S 01): S133
DOI: 10.1055/s-0040-1704411
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

CLOSURE OF DUODENAL FISTULA IN 10 DAYS WITH ENDOSCOPIC VACUUM THERAPY (EVT)

F Galetti
1   Digestive Endoscopy Unit, Hospital Das Clínicas, São Paulo University Medical School, São Paulo, Brazil
,
CO Matsubayashi
1   Digestive Endoscopy Unit, Hospital Das Clínicas, São Paulo University Medical School, São Paulo, Brazil
,
AC Madruga-Neto
1   Digestive Endoscopy Unit, Hospital Das Clínicas, São Paulo University Medical School, São Paulo, Brazil
,
RH Resende
1   Digestive Endoscopy Unit, Hospital Das Clínicas, São Paulo University Medical School, São Paulo, Brazil
,
DTH de Moura
1   Digestive Endoscopy Unit, Hospital Das Clínicas, São Paulo University Medical School, São Paulo, Brazil
,
R Tahmasebi
2   Bioengineering Division, Heart Institute (Incor), University of São Paulo Medical School, São Paulo, Brazil
,
FS de Medeiros
3   Digestive Endoscopy Unit, Hospital Universitário Onofre Lopes, Universidade Federal do Rio Grande do Norte, Natal, Brazil
,
SE Matuguma
1   Digestive Endoscopy Unit, Hospital Das Clínicas, São Paulo University Medical School, São Paulo, Brazil
,
MEL dos Santos
1   Digestive Endoscopy Unit, Hospital Das Clínicas, São Paulo University Medical School, São Paulo, Brazil
,
EGH de Moura
1   Digestive Endoscopy Unit, Hospital Das Clínicas, São Paulo University Medical School, São Paulo, Brazil
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

Also available at
 
 

    Aims Endoscopic management of a duodenal fistula using EVT.

    Methods EVT was performed.

    Results 81-year-old female underwent laparoscopic left hemicolectomy for colon neoplasm. After 2 days she underwent duodeno-jejunal segmental resection with duodeno-jejunal anastomosis for generalized peritonitis. 25 days later the endoscopy showed a transmural defect. EVT was performed. Ten days later a significant decrease in the size of the defect was observed, without extravasation of the contrast in fluoroscopy resulted in the closure of the duodenal fistula.

    Conclusion EVT is a recent therapy in the management of GI transmural defects that can be used as a first line therapy.


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