Volume 2, Issue 5, Pages (May 2017)

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Volume 2, Issue 5, Pages 98-99 (May 2017) Using the endoscopic overstitching device and fully covered esophageal stents for closure of a gastropleural fistula and repair of a deformed gastric sleeve Sherif Andrawes, MD VideoGIE Volume 2, Issue 5, Pages 98-99 (May 2017) DOI: 10.1016/j.vgie.2017.02.003 Copyright © 2017 The Authors Terms and Conditions

Figure 1 A, Coronal cut of a CT scan without contrast medium revealing an 8-cm abscess in the left lung (arrow). B, Coronal cut of a CT scan with contrast medium revealing a leak from a gastropleural fistula into the chest cavity (arrow). C, Endoscopic view showing the expanded remnant gastric pouch (green highlight) and the gastric sleeve (red highlight) separated by a sharp angulation. The gastric pouch appears enlarged secondary to the flow of food and gastric juice caused by the angulation. D, Endoscopic view of the reduced and sutured gastric pouch (highlighted). E, Follow-up upper GI barium study revealing adequate closure of the fistula and the gastric pouch. Overstitch endoscopic sutures (arrowheads) were used, and 2 fully covered stents overlapping at the site of the previous leak were placed. F, Coronal cut of a CT scan of the chest 6 weeks after the procedure showing complete resolution of the left lung abscess. VideoGIE 2017 2, 98-99DOI: (10.1016/j.vgie.2017.02.003) Copyright © 2017 The Authors Terms and Conditions