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Volume 4, Issue 6, Pages (June 2019)

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Presentation on theme: "Volume 4, Issue 6, Pages (June 2019)"— Presentation transcript:

1 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 (June 2019) DOI: /j.vgie Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

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

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

4 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, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

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

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

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

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

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

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


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