VideoGIEPub Date : 2025-02-01DOI: 10.1016/j.vgie.2024.09.012
Ethan M. Cohen MD , Ayowumi A. Adekolu MD , Rohit Agrawal MD , Mohamed Zitun MD , Soban Maan MBBS , Shyam Thakkar MD , Shailendra Singh MD
{"title":"Endoscopic closure of esophageal, gastric, jejunal, and rectopelvic fistulas with cardiac septal occluder devices: a case series","authors":"Ethan M. Cohen MD , Ayowumi A. Adekolu MD , Rohit Agrawal MD , Mohamed Zitun MD , Soban Maan MBBS , Shyam Thakkar MD , Shailendra Singh MD","doi":"10.1016/j.vgie.2024.09.012","DOIUrl":"10.1016/j.vgie.2024.09.012","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Treating GI fistulas and anastomotic leaks is a challenge. Traditionally, these adverse events have been treated with conservative measures or surgical interventions, both of which have been associated with high rates of morbidity. Although endoscopic techniques are available and commonly minimally invasive, their success can be variable and oftentimes require repeat interventions. Cardiac septal occluder (CSO) devices have emerged as an alternative for managing these complex GI fistulas and anastomotic leaks after the more conservative endoscopic options fail.</div></div><div><h3>Methods</h3><div>Before the introduction of the CSO device into the body, a CSO delivery system must first be created. After integrating this system with an endoscope, argon plasma coagulation is used on each of the fistulas, and the CSOs are then deployed under fluoroscopy.</div></div><div><h3>Cases</h3><div>We present 4 cases of CSO device placement throughout the GI tract: in the esophagus, jejunum, stomach, and rectosigmoid colon. Each of these cases presents unique challenges in maneuvering the anatomy, ensuring the CSOs fully occlude the fistulas, and are successful in causing tissue in-growth postplacement.</div></div><div><h3>Conclusions</h3><div>This study presents a case series of 4 successful closures of GI fistulas using CSO devices after the failure of more conservative therapies. Each of these cases takes place in a different part of the GI tract—the esophagus, stomach, small intestines, and large intestines—indicating the broad application of CSO devices. CSOs offer a promising alternative for managing complex GI fistulas and postsurgical anastomotic leaks endoscopically throughout the entire GI tract.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"10 2","pages":"Pages 163-166"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143296517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VideoGIEPub Date : 2025-02-01DOI: 10.1016/j.vgie.2024.09.011
Shae Patel DO, Savan Kabaria MD, Paul Leonor MD
{"title":"Novel use of endoscopic morcellation of a duodenal bulb polyp","authors":"Shae Patel DO, Savan Kabaria MD, Paul Leonor MD","doi":"10.1016/j.vgie.2024.09.011","DOIUrl":"10.1016/j.vgie.2024.09.011","url":null,"abstract":"","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"10 2","pages":"Pages 150-152"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143296529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VideoGIEPub Date : 2025-02-01DOI: 10.1016/j.vgie.2025.01.007
Davekaran Buttar MBBS, Mayank Goyal MBBS, Ashwariya Ohri MBBS, Barham Abu Dayyeh MD, MPH, FASGE
{"title":"A novel approach to endoscopically manage a large pedunculated polyp obstructing the gastroesophageal junction using a new endoscopic suturing system for endoscopic ligation of the stalk and piecemeal resection","authors":"Davekaran Buttar MBBS, Mayank Goyal MBBS, Ashwariya Ohri MBBS, Barham Abu Dayyeh MD, MPH, FASGE","doi":"10.1016/j.vgie.2025.01.007","DOIUrl":"10.1016/j.vgie.2025.01.007","url":null,"abstract":"","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"10 5","pages":"Pages 240-242"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}