Endoscopic Kehr's T-Tube Placement to Treat Persistent Large Gastro-cutaneous Fistula After One Anastomosis Gastric Bypass: Video Demonstration.

ABSTRACT:

Background

We aim to show the endoscopic placement of a T-tube to treat a persistent large gastro-cutaneous fistula after OAGB.

Methods

We present the case of a 46-year-old woman with BMI of 48 kg/m², who underwent OAGB and was re-operated on the 2nd postoperative day (POD) for leakage. Washing and drainage of the abdominal cavity was performed, and no fistulous orifice was identified. An upper gastrointestinal (GI) endoscopy was performed at POD 20 for the persistence of leakage of 150 ml/day by the drain and a gastric fistulous orifice of 2 cm was detected.

Results

At POD 22, under general anesthesia, upper GI endoscopy was performed and a T-tube was placed in the fistulous orifice with a "rendez-vous" technique (as demonstrated in the Video), placing the

SUBMITTER: Liagre A 

PROVIDER: S-EPMC9613566 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature