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Create a Free AccountProcedures - Closure of Perforation/Fistula
Endoscopic management of an esophagomediastinal fistula arising from a cervical esophageal diverticulum after blunt chest trauma
Esophagomediastinal fistula (EMF) is a rare but serious adverse event after trauma or chest surgery. The exact pathophysiologic mechanism is unclear but is presumed to be associated with compressive injury to the esophagus, with subsequent ischemia and inflammation leading to fistula formation.1,2 Prompt recognition is crucial because a delay in management increases morbidity and mortality. In this video (Video 1, available online at www.VideoGIE.org ), we present a case of an EMF arising from a cervical esophageal diverticulum after blunt chest trauma and surgery.Endoscopic stent placement and suturing for the management of a disconnected Roux limb after bariatric surgery
Bariatric surgery remains the most durable long-term option for weight management.1 Although mortality related to bariatric surgery remains low, 6% to 10% of patients can present with morbid adverse events depending on the type of bariatric surgery performed.2 Therapeutic endoscopy has become an accepted first-line approach for the management of most of these adverse events, either by providing definitive therapy or as a bridge to surgical revision.3 Complete dehiscence resulting in separation of the jejunal limb from the gastric pouch (disconnected Roux limb) is an uncommon, yet serious, adverse event.
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