Volume 4, Issue 6, Pages (June 2019)

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Volume 4, Issue 6, Pages 279-283 (June 2019) Endoscopic management of colovaginal fistulas in advanced cancer patients Ali Alshati, MD, Mays Almohammedawi, MBChB, Mankanwal S. Sachdev, MD, FASGE, Toufic Kachaamy, MD VideoGIE Volume 4, Issue 6, Pages 279-283 (June 2019) DOI: 10.1016/j.vgie.2019.02.013 Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Vaginal endoscopic view showing stool in the vagina in patient 1. VideoGIE 2019 4, 279-283DOI: (10.1016/j.vgie.2019.02.013) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Colorectal view showing the rectal end of the fistula (blue arrow) in patient 1. VideoGIE 2019 4, 279-283DOI: (10.1016/j.vgie.2019.02.013) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Fully covered esophageal stent used to close the fistula in patient 1. Four sets of sutures were placed distally through the rectal wall to prevent the stent migration. VideoGIE 2019 4, 279-283DOI: (10.1016/j.vgie.2019.02.013) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Vaginal endoscopic view showing the appearance of the stent covering the fistula from the vaginal side in patient 1. VideoGIE 2019 4, 279-283DOI: (10.1016/j.vgie.2019.02.013) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Vaginal endoscopic view showing stool in the vagina in patient 2. VideoGIE 2019 4, 279-283DOI: (10.1016/j.vgie.2019.02.013) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Colorectal view showing colorectal end of the fistula in patient 2. VideoGIE 2019 4, 279-283DOI: (10.1016/j.vgie.2019.02.013) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 7 Appearance of the fistula from the colonic end after passage of wire from the vaginal end in patient 2. VideoGIE 2019 4, 279-283DOI: (10.1016/j.vgie.2019.02.013) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 8 Over-the-scope clips deployed to close the fistula from the colonic end in patient 3. VideoGIE 2019 4, 279-283DOI: (10.1016/j.vgie.2019.02.013) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 9 Colorectal view showing the closed fistula from the colorectal side in patient 3. VideoGIE 2019 4, 279-283DOI: (10.1016/j.vgie.2019.02.013) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions