Volume 4, Issue 2, Pages (February 2019)

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Volume 4, Issue 2, Pages 91-94 (February 2019) Transluminal washout and debridement of extraluminal contamination as an adjunct to endoscopic defect repair Matthew T. Moyer, MD, MS, Jayakrishna Chintanaboina, MD, MPH, FACP, Leonard T. Walsh, MD, Justin Loloi, BS, Jennifer Maranki, MD, Benjamin Stern, DO, Abraham Mathew, MD, MSc VideoGIE Volume 4, Issue 2, Pages 91-94 (February 2019) DOI: 10.1016/j.vgie.2018.09.021 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Upper endoscopic view showing a large distal esophageal disruption with contamination of the thoracic cavity with food and fluid. VideoGIE 2019 4, 91-94DOI: (10.1016/j.vgie.2018.09.021) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 CT view showing extravasation of oral contrast material from the second part of the duodenum with free air consistent with a duodenal perforation. VideoGIE 2019 4, 91-94DOI: (10.1016/j.vgie.2018.09.021) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Upper endoscopic view showing a 6-mm opening on the posteromedial aspect of the second part of the duodenum. VideoGIE 2019 4, 91-94DOI: (10.1016/j.vgie.2018.09.021) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Small-bowel contrast study 3 weeks after endoscopic repair showing no extravasation from the duodenum. The tip of the percutaneous drain is present in the right upper quadrant as indicated by the red arrow. Several loops of opacified jejunum are indicated by the yellow arrow. VideoGIE 2019 4, 91-94DOI: (10.1016/j.vgie.2018.09.021) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions