Endoscopy 2020; 52(S 01): S251
DOI: 10.1055/s-0040-1704788
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

OVER-THE-SCOPE-CLIP (OTSC) CLOSURE OF AN IATROGENIC GASTRO-COLIC FISTULA FOLLOWING MAL-DEPLOYMENT OF A LUMEN-APPOSING METAL STENT

EJ Despott
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
N Lazaridis
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
G Johnson
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
2   University College London Hospital (UCLH), London, United Kingdom
,
A Podesta
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
F Solonos
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
E Athanasiadou
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
A Skamnelos
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
R Raymond
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
N Koukias
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
,
T Yano
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
3   Jichi Medical University, Division of Gastroenterology, Department of Medicine, Shimotsuke, Japan
,
A Murino
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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A 44-year-old man with necrotising pancreatitis was referred for EUS-guided drainage of infected 12 × 5 cm symptomatic walled-off-necrosis(WON). At EUS, 20 mm lumen-apposing-metal-stent(LAMS) was deployed through the posterior gastric wall. CT revealed that the LAMS had been inadvertently mal-deployed into the colon.

Endoscopic removal of the LAMS and closure of the resultant gastro-colic-fistula(GCF) by over-the-scope-clip(OTSC) placement was attempted.

Simultaneous upper and lower GI-endoscopy performed under general-anaesthesia. The LAMS was removed and the colonic defect was closed with a 14 mm-OTSC using twin-grasping-forceps tissue apposition, followed by similar closure of gastric defect with two 12 mm-OTSCs.

Successful closure confirmed endoscopically and radiologically with indigo-carmine-dye and contrast.