Management of complex fluid collections, Necresectomy, and Enterocutaneous Fistula Management: How I do it

Tuesday, March 7, 2023

1:00 PM – 2:30 PM

Location:Phoenix Convention Center, 227ABC

CE: 1.5 Credits

Coordinator(s)

JL

Jorge Lopera, MD, FSIR

Attending
UT Health Science Center in San Antonio

Disclosure information not submitted.
AG

Andrew Gunn, MD

Program Director IR/DR
University of Alabama At Birmingham

Disclosure(s): Boston Scientific: Consultant (Ongoing), Speaking and Teaching (Ongoing); Penumbra: Research Grant Recipient (Ongoing); Varian: Consultant (Ongoing), Research Grant Recipient (Ongoing), Speaking and Teaching (Ongoing)

Moderator(s)

Peter Bream, Jr., MD FSIR

Professor
UNC Chapel Hill

Disclosure(s): No financial relationships to disclose
JL

Jorge Lopera, MD, FSIR

Attending
UT Health Science Center in San Antonio

Disclosure information not submitted.

Disclosure(s):

Andrew Gunn, MD: Boston Scientific: Consultant (Ongoing), Speaking and Teaching (Ongoing); Penumbra: Research Grant Recipient (Ongoing); Varian: Consultant (Ongoing), Research Grant Recipient (Ongoing), Speaking and Teaching (Ongoing)

Peter R. Bream, MD FSIR, Jr.: No financial relationships to disclose

Description of the session
The management of complicated fluid collections including hematomas, abscesses with fistulas and pancreatic necrosis is very complex and difficult. IR can play a very important role, not only by placing and exchanging drains, but also by removing the material and closing the fistulas using different tools via the percutaneous approach. Many of the complex approaches require multiple procedures and close coordination with advanced endoscopy and surgery. This session will provide attendees with a review of tools, methods, and treatment options for patients with complex fluid collections, pancreatic necrosis, and enterocutaneous fistulas that do not respond to traditional drainage methods.

Learning Objectives:

To understand the clinical presentation and current management of complex fluid collections with emphasis on collaboration with Gastroenterology and Surgery
Participants will learn how to apply best practices to control and manage of enterocutaneous fistulas
Participants will better understand advanced techniques including fistula plugs and fibrin glue

Presentations:

1:00 PM – 1:14 PM

When traditional drainage methods fail: scope of the problem
Speaker: Andrew Gunn, MD – University of Alabama At Birmingham
1:14 PM – 1:28 PM

Management of complex fluid collections: how I do it
Speaker: Jorge Lopera, MD, FSIR – UT Health Science Center in San Antonio
1:28 PM – 1:41 PM

Management of pancreatic necrosis
Speaker: Maria del Pilar Bayona Molano, MD – UT Southwestern Medical center
1:41 PM – 1:54 PM

Surgical management of enterocutaneous fistula
Speaker: Robert Hollis, MD MSPH – University of Alabama At Birmingham
1:54 PM – 2:07 PM

Enterocutaneous fistula plugs and other percutaneous techniques for fistulas: best practices
Speaker: Claire Kaufman, MD – OHSU
2:07 PM – 2:20 PM

Cutting-edge techniques for fistula and bowel obstructions
Speaker: Daniel J. Holzwanger, MD (he/him/his) – Weill Cornell Medicine
2:20 PM – 2:30 PM

Q & A