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Long-term endoscopic follow-up after closure of a post-bariatric surgery fistula with a cardiac septal defect occluder

2021; Thieme Medical Publishers (Germany); Volume: 54; Issue: 03 Linguagem: Inglês

10.1055/a-1422-2631

1438-8812

Diogo Turiani Hourneaux de Moura, Mateus Bond Boghossian, Bruno Salomão Hirsch, Thomas R. McCarty, Alberto Baptista, Eduardo Guimarães Hourneaux de Moura,

Esophageal Cancer Research and Treatment

Bariatric surgery is currently the most effective treatment strategy for obesity; however, post-surgical fistulas may occur in up to 8.3 % of patients following traditional Roux-en-Y gastric bypass (RYGB) [1]. Currently endoscopic treatment of these complications remains challenging, with unsuccessful fistula closure occurring in 20 % of patients [1] [2]. More recently, the use of a cardiac septal defect occluder (CSDO) device has been proposed as a novel treatment for the closure of gastrointestinal fistulas. A CSDO is a double-disc self-expanding closure device made of nitinol and interwoven polyester. The successful use of CSDOs in the management of gastrointestinal surgical and bariatric leaks has been reported; however, there are limited data regarding long-term outcomes [3] [4]. In this video, we describe the successful closure of a gastrocutaneous fistula using a CSDO and demonstrate persistent closure at long-term follow-up ([Video 1]).