921 Successful Closure of a Billroth II Duodenal Stump Leak With Fistulization to the Colon Using Stacked Over-the-Scope Clips

Abstract

Duodenal stump leak after Billroth II gastrectomy is a serious complication and a challenge to close endoscopically. We present the case of a 77 y.o. woman status post Billroth II gastrectomy for GIST referred for a duodenal stump leak and diarrhea. CT scan showed a peri-duodenal stump fluid collection. The patient was not a good candidate for surgical repair. Conservative management was recommended, including percutaneous drainage of fluid collection and direct PEJ placement in the efferent limb for nutritional support.