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.
